Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Tulledo-Johnson, R1417930121

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669067401

Laura Tulledo-Johnson, R1417930121 is an Addiction (Substance Use Disorder) Counselor in Redding, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1905 Park Marina Dr
Redding, CA 96001-0962
Phone: (530) 224-5469
Fax: (530) 786-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1669067401
Entity typeIndividual (Type 1)
GenderFemale
Credentials R1417930121
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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