Provider Demographics
NPI:1225336753
Name:LOUISE-WORACHEK, JUDITH (CADC-II, ICADC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:LOUISE-WORACHEK
Suffix:
Gender:F
Credentials:CADC-II, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13525 CIELO AZUL WAY
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-6235
Mailing Address - Country:US
Mailing Address - Phone:760-329-4673
Mailing Address - Fax:760-329-7311
Practice Address - Street 1:13525 CIELO AZUL WAY
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-6235
Practice Address - Country:US
Practice Address - Phone:760-329-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)