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

Tiffany Pimentel, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1770368300

Tiffany Pimentel, SUDRC is an Addiction (Substance Use Disorder) Counselor in Lucerne, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6350 15th Ave
Lucerne, CA 95458-8628
Phone: (707) 998-1800
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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
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence SUDRC16137 (CA)

Record details

NPI number1770368300
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedAugust 30, 2023
Last updated in NPPESSeptember 4, 2023
Certification dateSeptember 4, 2023

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