MS. TARA DENISE TEBBS RADT-1 NPI 1841939436

NPI Information

NPI: 1841939436
Provider Name: MS. TARA DENISE TEBBS, RADT-1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
406 SUNRISE AVE STE 105
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-3737
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MS. Tara Denise Tebbs, RADT-1 is an addiction (substance use disorder) counselor in Roseville, CA. MS. Tara Denise Tebbs, RADT-1 NPI is 1841939436. 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:

406 SUNRISE AVE STE 105
ROSEVILLE, CA
ZIP 95661-106
Phone: (916) 782-3737

The enumeration date for this NPI number is 6/1/2022 and was last updated on 3/8/2024.

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	171M00000X	Case Manager/Care Coordinator		R1469970522	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1469970522	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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