Tracie Leigh Paine, REGISTERED SUD COUNS

NPI #1881434173 in Newark, California

Provider Information

NPI Number: 1881434173
Entity Type: Individual
Name: Tracie Leigh Paine, REGISTERED SUD COUNS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: REGISTERED SUD COUNS
Enumeration Date: May 25, 2024
Last Updated: May 25, 2024

Practice Location

Address: 6330 THORNTON AVE
City: Newark
State: California
ZIP Code: 94560-3734
Phone: (510) 792-4357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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