Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dylan Ray Riese, RADTTRAINEE1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1174480685

Dylan Ray Riese, RADTTRAINEE1 is an Addiction (Substance Use Disorder) Counselor in Dulzura, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

18985 Highway 94
Dulzura, CA 91917-1527
Phone: (619) 335-2996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RT1420931025 (CA)

Record details

NPI number1174480685
Entity typeIndividual (Type 1)
GenderMale
Credentials RADTTRAINEE1
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 6, 2026

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