Healthcare Provider Details

I. General information

NPI: 1780407478
Provider Name (Legal Business Name): TERESA KOTHRADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W PEARL ST
ANAHEIM CA
92801-5941
US

IV. Provider business mailing address

1320 W PEARL ST
ANAHEIM CA
92801-5941
US

V. Phone/Fax

Practice location:
  • Phone: 714-780-1174
  • Fax:
Mailing address:
  • Phone: 714-780-1174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA062450423
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: