MS. DYNESE LEE ADDOTTA CATC NPI 1639541394

NPI Information

NPI: 1639541394
Provider Name: MS. DYNESE LEE ADDOTTA, CATC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1520 GOLDENWOOD DR
MODESTO, CA
ZIP 95350
Phone: (209) 552-6964
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MS. Dynese Lee Addotta, CATC is an addiction (substance use disorder) counselor in Modesto, CA. MS. Dynese Lee Addotta, CATC NPI is 1639541394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1520 GOLDENWOOD DR
MODESTO, CA
ZIP 95350-865
Phone: (209) 552-6964

The enumeration date for this NPI number is 10/21/2015 and was last updated on 10/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A1007271038	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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