Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003150152 |
---|---|
Provider Name | Ms. Monica L Tanner |
First Address | Santa Barbara, CA 93101-4838 |
Second Address | Santa Barbara, CA 93110-1848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2012 |
Last Update Date | 08/10/2014 |