TANJA SKOUSEN SUDRC
NPI 1043095987
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since August 29, 2023
4125 ALPHA ST, SAN DIEGO, CA 92113(619) 266-0166 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanja Skousen Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANJA SKOUSEN SUDRC (NPI 1043095987) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (15033) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1043095987
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTANJA SKOUSENCredential: SUDRC
Location Address4125 ALPHA STSan Diego, CA 92113-4553
Mailing Address4125 Alpha StSan Diego, CA 92113-4553 · (619) 266-0166
Sole ProprietorYes
Enumeration DateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
NPI 1043095987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 15033
4125 ALPHA ST, San Diego, CA 92113

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
4125 ALPHA ST
SAN DIEGO, CA 92113
Community/Behavioral Health
4125 ALPHA ST, SUITES E-G
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4125 ALPHA ST
SAN DIEGO, CA 92113
Counselor
4125 ALPHA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4125 ALPHA ST
SAN DIEGO, CA 92113
Social Worker (Clinical)
4125 ALPHA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4125 ALPHA ST
SAN DIEGO, CA 92113
Counselor (Addiction (Substance Use Disorder))
4125 ALPHA ST
SAN DIEGO, CA 92113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanja Skousen's NPI number?

The NPI number for Tanja Skousen is 1043095987. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Tanja Skousen located?

Tanja Skousen practices at 4125 Alpha St, San Diego, CA 92113. The listed phone number is (619) 266-0166.

What is Tanja Skousen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tanja Skousen was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.