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NPI Code Detail

MEDICARE: HEATHER SEVIER RADT

MEDICARE:   HEATHER  SEVIER  RADT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor136614CA

General Provider Information

NPI Number : 1205798964
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER SEVIER RADT
Provider Business Mailing Address
First Line : 3430 COGSWELL RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2785
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3430 COGSWELL RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2785
Country : US
Telephone Number : 626-453-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ HEATHER SEVIER RADT” Practice Location

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