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

Mr. Edward Mindiola, RADT1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124571179

Mr. Edward Mindiola, RADT1 is an Addiction (Substance Use Disorder) Counselor in Auburn, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

12125 Shale Ridge Ln
Auburn, CA 95602-8880
Phone: (530) 885-1917
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 R1224960316 (CA)

Record details

NPI number1124571179
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT1
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016
Mailing address12125 Shale Ridge Ln, Auburn, CA 95602-8880

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