Tamara Brown, RASI
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Stanton, CA
NPI 1295206365 · NPPES record last updated Aug 26, 2020
Key facts
- NPI
- 1295206365
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R1286950118 (CA)
- Practice address
- 10936 Dale Ave
Stanton, CA 90680-2724 - Phone
- (714) 952-4032
- Fax
- (714) 952-4075
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1286950118 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roque Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1286950118 | CA | Yes |
Addresses
Primary practice location
10936 Dale Ave
Stanton, CA 90680-2724
Mailing address
10936 Dale Ave
Stanton, CA 90680-2724
Phone (714) 952-4032
Other providers in Stanton, CA
- Morgan Leigh Boyer
- Rachel Laura Bradley
- Sam Brandel
- Glen Brinagh
- Melissa Kiyo Broberg
- Melvin Broxton
- Gracie Bui
- Hai Bui
- Huy Bui
- Tiffani Buonanno
All providers in Stanton, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.