Individual
BILL THOMAS DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT-I
Contact information
Practice address
31760 CASINO DR STE 200, LAKE ELSINORE, CA 92530-2313
(951) 471-4649
Mailing address
1370 S STATE ST STE A, SAN JACINTO, CA 92583-4922
(951) 791-3350
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/01/2019
Last updated
08/10/2021
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