Individual provider · Type 1 NPI

Vanessa Stallworth

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1235800087 Active

Practice location

1963 N E St
San Bernardino, CA 92405-3919

Call (909) 881-6146 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1440340721 (CA)
Mental Health Counselor 101YM0800XAPCC14195 (CA)

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

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About NPI 1235800087

Vanessa Stallworth's National Provider Identifier is 1235800087, issued on Sep 22, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Sep 4, 2023.