Provider Demographics
NPI:1922767987
Name:TRIPLETT, JOSEPH III (RADT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:TRIPLETT
Suffix:III
Gender:M
Credentials:RADT
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:TRIPLETT
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:RADT
Mailing Address - Street 1:24371 SARADELLA CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24885 WHITEWOOD RD STE 105
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2004
Practice Address - Country:US
Practice Address - Phone:951-698-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-16
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1449751121101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)