NATALIE LYNN MCCORMACK RADT1
NPI 1295272292
Counselor - Addiction (Substance Use Disorder) in San Jacinto, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since January 27, 2017

23931 WARREN RD, SAN JACINTO, CA 92582(760) 618-1286(951) 658-6686 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2022, Jan 27, 2017 (2 updates tracked since 2017).

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About Natalie Lynn Mccormack Radt1 NPPES

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

NATALIE LYNN MCCORMACK RADT1 (NPI 1295272292) is an individual addiction (substance use disorder) provider in San Jacinto, California and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1295272292

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameNATALIE LYNN MCCORMACKCredential: RADT1

Location Address23931 WARREN RDSan Jacinto, CA 92582-3795

Mailing Address23931 Warren Rd # RodSan Jacinto, CA 92582-3795 · (760) 618-1286 · Fax (951) 658-6686

Phone(760) 618-1286

Fax(951) 658-6686

Sole ProprietorNo

Enumeration DateJanuary 27, 2017

Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1295272292 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

23931 WARREN RD, San Jacinto, CA 92582

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