DANIEL JOHN CRUMMEY SUDRC
NPI 1811673668
Counselor - Addiction (Substance Use Disorder) in Fairfield, CA
Active since June 26, 2023
About Daniel John Crummey Sudrc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL JOHN CRUMMEY SUDRC (NPI 1811673668) is an individual addiction (substance use disorder) provider in Fairfield, California, licensed in California (15669) and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1811673668
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDANIEL JOHN CRUMMEYCredential: SUDRC
Location Address355 TRAVIS BLVDFairfield, CA 94533-3803
Mailing Address609 Jefferson StFairfield, CA 94533-6293 · (707) 399-9190
Phone(707) 759-5739
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1811673668 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 · 15669
355 TRAVIS BLVD, Fairfield, CA 94533
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Rehabilitation, Substance Use Disorder)
355 TRAVIS BLVD
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Counselor (Addiction (Substance Use Disorder))
355 TRAVIS BLVD
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811673668, enumerated as an "individual" on June 26, 2023.
The provider is located at 355 TRAVIS BLVD FAIRFIELD, CA 94533 and the phone number is (707) 759-5739.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
