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NPI Code Detail

MEDICARE: TANISHA MICHEL CADAC

MEDICARE: TANISHA MICHEL CADAC
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
1171M00000XCase Manager/Care CoordinatorCA
2101YA0400XAddiction (Substance Use Disorder) CounselorCI50990426CA

General Provider Information

NPI Number : 1922823624
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANISHA MICHEL CADAC
Provider Business Mailing Address
First Line : 12890 QUINTA WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-4852
Country : US
Telephone Number : 760-329-2959
Fax Number :
Provider Business Practice Location Address
First Line : 12890 QUINTA WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-4852
Country : US
Telephone Number : 760-329-2959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 04/03/2026

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Directions to “ TANISHA MICHEL CADAC” Practice Location

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