Ted Tavolazzi Jr.
Ted Tavolazzi Jr. is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
1100 N D StSan Bernardino, CA 92410-3524
Phone: (909) 884-0840
Fax: (909) 885-6852
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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 · Licence AII058300518 (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X (CA) |
Record details
| NPI number | 1285058933 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 14, 2014 |
| Last updated in NPPES | March 5, 2025 |
| Certification date | March 5, 2025 |
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1100 N D St, San Bernardino, CA 92410-3524 · (909) 884-0840
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Matthew E Thomas
1100 N D St, San Bernardino, CA 92410-3524 · (909) 884-0840