Individual provider · Type 1 NPI
Krystal Elvia Cancelada
Addiction (Substance Use Disorder) Counselor · Moreno Valley, CA
NPI number
1265990386
Active
Practice location
23119 Cottonwood Ave Ste 101
Moreno Valley, CA 92553-9661
Fax (951) 413-5230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265990386
Krystal Elvia Cancelada's National Provider Identifier is 1265990386, issued on Mar 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moreno Valley, CA. The record was last updated on Mar 7, 2019.