Healthcare Provider Details

I. General information

NPI: 1578000634
Provider Name (Legal Business Name): ELIZABETH ESPINDOLA CATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 01/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 TREAT BLVD STE B5
CONCORD CA
94518-3687
US

IV. Provider business mailing address

51 GLEN ELLEN CT
OAKLEY CA
94561-3023
US

V. Phone/Fax

Practice location:
  • Phone: 925-691-5083
  • Fax: 925-691-5369
Mailing address:
  • Phone: 925-354-2553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: