Individual provider · Type 1 NPI

Richard Cornelius, SUDCC II

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

NPI number 1356494769 Active

Practice location

658 E Brier Dr Ste 350
San Bernardino, CA 92408-2875

Call (800) 968-2636 Map

Fax (909) 501-0832

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13154 (CA)

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

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About NPI 1356494769

Richard Cornelius, SUDCC II's National Provider Identifier is 1356494769, issued on Jan 19, 2007. 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 Jul 29, 2022.