ALYSSA NATALIE MARTIN RADT
NPI 1447875844
Counselor - Addiction (Substance Use Disorder) in Trabuco Canyon, CA
Active since June 11, 2020
20331 FLANAGAN ROAD, TRABUCO CANYON, CA 92679(818) 582-8832(818) 582-8836 Get Directions Write a Review
About Alyssa Natalie Martin Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA NATALIE MARTIN RADT (NPI 1447875844) is an individual addiction (substance use disorder) provider in Trabuco Canyon, California, licensed in California (R1396230720) and active in the NPI registry since June 2020.
NPPES Registry Identity
NPI1447875844
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALYSSA NATALIE MARTINCredential: RADT
Location Address20331 FLANAGAN ROADTrabuco Canyon, CA 92679
Mailing Address24016 Elrond LnLake Forest, CA 92630-3649 · (949) 520-8855
Phone(818) 582-8832
Fax(818) 582-8836
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1447875844 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 · R1396230720
20331 FLANAGAN ROAD, Trabuco Canyon, CA 92679
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
TRABUCO CANYON, CA 92679
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
TRABUCO CANYON, CA 92679
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
TRABUCO CANYON, CA 92679
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
TRABUCO CANYON, CA 92679
Counselor (Addiction (Substance Use Disorder))
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
TRABUCO CANYON, CA 92679
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447875844, enumerated as an "individual" on June 11, 2020.
The provider is located at 20331 FLANAGAN ROAD TRABUCO CANYON, CA 92679 and the phone number is (818) 582-8832.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
