MICHAEL DISANDRO RADT
NPI 1881269363
Counselor - Addiction (Substance Use Disorder) in Auburn, CA
Active since May 26, 2021
About Michael Disandro Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL DISANDRO RADT (NPI 1881269363) is an individual addiction (substance use disorder) provider in Auburn, California and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1881269363
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL DISANDROCredential: RADT
Location Address12125 SHALE RIDGE LNAuburn, CA 95602-8880
Mailing AddressPo Box 6028Auburn, CA 95604-6028 · (530) 878-5166
Phone(530) 885-1917
Sole ProprietorNo
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1881269363 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
12125 SHALE RIDGE LN, Auburn, CA 95602
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
AUBURN, CA 95602
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
AUBURN, CA 95602
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
AUBURN, CA 95602
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
AUBURN, CA 95602
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN, 12125 SHALE RIDGE ROAD
AUBURN, CA 95602
AUBURN, CA 95602
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
AUBURN, CA 95602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881269363, enumerated as an "individual" on May 26, 2021.
The provider is located at 12125 SHALE RIDGE LN AUBURN, CA 95602 and the phone number is (530) 885-1917.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
