Individual provider · Type 1 NPI

Kristina Beckley

Addiction (Substance Use Disorder) Counselor · Fullerton, CA

NPI number 1407018104 Active

Practice location

218 E Commonwealth Ave
Fullerton, CA 92832-1911

Mailing address

5431 W Wisteria Pl
Santa Ana, CA 92704-1837

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407018104

Kristina Beckley's National Provider Identifier is 1407018104, issued on Jun 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fullerton, CA. The record was last updated on Jun 25, 2008.