| Tri-cities | |
|
2523 El Portal Dr Ste 206 San Pablo CA 94806-3305 | |
| (510) 374-7017 | |
| Not Available |
| Full Name | Tri-cities |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2523 El Portal Dr Ste 206, San Pablo, California |
| Authorized Official Name and Position | Sheree Howe (REGISTERED ADDICTION SPECIALIST) |
| Authorized Official Contact | 5103747017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-cities 828 38th St Richmond CA 94805-1321 Ph: (510) 374-7017 | Tri-cities 2523 El Portal Dr Ste 206 San Pablo CA 94806-3305 Ph: (510) 374-7017 |
| NPI Number | 1114132982 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114132982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | H0501041746 (California) | Primary |
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