MRS. LORA RENEE DOUGLAS RADT
NPI 1548820095
Counselor - Addiction (Substance Use Disorder) in Fremont, CA
Active since June 17, 2019
About Mrs. Lora Renee Douglas Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LORA RENEE DOUGLAS RADT (NPI 1548820095) is an individual addiction (substance use disorder) provider in Fremont, California, licensed in California (R1332031218) and active in the NPI registry since June 2019.
NPPES Registry Identity
NPI1548820095
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LORA RENEE DOUGLASCredential: RADT
Location Address37437 GLENMOOR DRFremont, CA 94536-5731
Mailing Address4510 Peralta Blvd Ste 1Fremont, CA 94536-5755 · (510) 713-3202 · Fax (510) 713-0684
Phone(510) 713-3200
Fax(510) 713-0684
Sole ProprietorNo
Enumeration DateJune 17, 2019
✔ NPI 1548820095 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 · R1332031218
37437 GLENMOOR DR, Fremont, CA 94536
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Substance Abuse Rehabilitation Facility
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Substance Abuse Rehabilitation Facility
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Substance Abuse Rehabilitation Facility
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Counselor (Addiction (Substance Use Disorder))
37437 GLENMOOR DR
FREMONT, CA 94536
FREMONT, CA 94536
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548820095, enumerated as an "individual" on June 17, 2019.
The provider is located at 37437 GLENMOOR DR FREMONT, CA 94536 and the phone number is (510) 713-3200.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).