Individual provider · Type 1 NPI

Lisanne Grey

Addiction (Substance Use Disorder) Counselor · Ontario, CA

NPI number 1326590977 Active

Practice location

2940 Inland Empire Blvd
Ontario, CA 91764-4898

Call (909) 458-1376 Map

Fax (909) 944-1059

Other practice locations

  • 850 E Foothill Blvd, Rialto, CA 92376-5230 · (909) 421-9224

Specialties and licenses

TaxonomyCodeLicense
Other Technician 247200000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9795 (CA)

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

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About NPI 1326590977

Lisanne Grey's National Provider Identifier is 1326590977, issued on Oct 31, 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 Jun 11, 2020.