Individual provider · Type 1 NPI

Kristine Scullin

Addiction (Substance Use Disorder) Counselor · Skyforest, CA

NPI number 1063602704 Active

Practice location

28545 Highway 18
Skyforest, CA 92385-0578

Call (909) 336-1800 Map

Mailing address

PO Box 578
Skyforest, CA 92385-0578

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-S0506091207 (CA)

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

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About NPI 1063602704

Kristine Scullin's National Provider Identifier is 1063602704, issued on Jul 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Skyforest, CA. The record was last updated on Jul 30, 2007.