Individual provider · Type 1 NPI

Kaylin Fitzgerald

Addiction (Substance Use Disorder) Counselor · Ontario, CA

NPI number 1013461656 Active

Practice location

125 W F St, Ste 101
Ontario, CA 91762-3201

Mailing address

22795 Kiowa Ct
Moreno Valley, CA 92553-6412

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013461656

Kaylin Fitzgerald's National Provider Identifier is 1013461656, issued on Aug 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ontario, CA. The record was last updated on Aug 11, 2016.