Tatum Suzzanne Bernabe, RADT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Seaside, CA
NPI 1609346113 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1609346113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R1329681118 (CA)
- Practice address
- 1152 Sonoma Ave
Seaside, CA 93955-5218 - Phone
- (831) 899-2436
- Fax
- (831) 899-7405
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| R1329681118 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Humanservices | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1329681118 | CA | Yes |
Addresses
Primary practice location
1152 Sonoma Ave
Seaside, CA 93955-5218
Mailing address
1152 Sonoma Ave
Seaside, CA 93955-5218
Phone (831) 899-2436
Other providers in Seaside, CA
- Kylie Batlin
- Leona May Battle
- James M Beaulieu
- Margaret E. Bennett
- Dayana Bergman
- Justin Born
- Brandi Elsie Marie Bothe
- Christine Boulanger
- Elliot Bowles
- Amy Marie Boze
All providers in Seaside, 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 Nov 27, 2018. 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.