VANESSA STALLWORTH

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1235800087

Practice Address

1963 N E ST
San Bernardino, CA 92405

Phone: (909) 881-6146

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes R1440340721 (CA)
Counselor - Mental Health 101YM0800X No APCC14195 (CA)

Frequently Asked Questions

NPI 1235800087 is the National Provider Identifier for VANESSA STALLWORTH, a Counselor - Addiction (Substance Use Disorder) provider located in San Bernardino, CA. This NPI was enumerated on September 22, 2021.
VANESSA STALLWORTH practices at 1963 N E ST, San Bernardino, CA 92405.

Quick Facts

NPI
1235800087
Type
Individual
Enumerated
Sep 22, 2021
Last Updated
Sep 4, 2023

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