LAURA TULLEDO-JOHNSON R1417930121
NPI 1669067401
Counselor - Addiction (Substance Use Disorder) in Redding, CA

Active since March 03, 2021
1905 PARK MARINA DR, REDDING, CA 96001(530) 224-5469(530) 786-1200 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura Tulledo-johnson R1417930121 NPPES

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

LAURA TULLEDO-JOHNSON R1417930121 (NPI 1669067401) is an individual addiction (substance use disorder) provider in Redding, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1669067401
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLAURA TULLEDO-JOHNSONCredential: R1417930121
Location Address1905 PARK MARINA DRRedding, CA 96001-0962
Mailing Address1905 Park Marina DrRedding, CA 96001-0962 · (530) 224-5469
Fax(530) 786-1200
Sole ProprietorYes
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
NPI 1669067401 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
1905 PARK MARINA DR, Redding, CA 96001

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 Laura Tulledo-johnson's NPI number?

The NPI number for Laura Tulledo-johnson is 1669067401. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Laura Tulledo-johnson located?

Laura Tulledo-johnson practices at 1905 Park Marina Dr, Redding, CA 96001. The listed phone number is (530) 224-5469.

What is Laura Tulledo-johnson'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 Laura Tulledo-johnson was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.