Corlina Eisert, CADC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Galt, CA
NPI 1811520281 · NPPES record last updated Feb 13, 2020
Key facts
- NPI
- 1811520281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- AII058860618 (CA)
- Practice address
- 750 Spaans Dr Ste CD&F
Galt, CA 95632-8609 - Phone
- (209) 744-9909
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| AII058860618 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII058860618 | CA | Yes |
Addresses
Primary practice location
750 Spaans Dr Ste CD&F
Galt, CA 95632-8609
Mailing address
1123 Park Terrace Dr
Galt, CA 95632-3742
Phone (209) 570-0013
Other providers in Galt, CA
- Laura Browne Dodd
- Kaio Alan Doxey
- Dycora Transitional Health - Galt LLC
- Eagle Care
- James Robert Edwards
- Ian Elia
- Daniel Elmatari
- Amr Mohamed Enaya
- Melisa Espino
- Patricia Espinoza
All providers in Galt, 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 Feb 13, 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.