Individual provider · Type 1 NPI

Roy Carranza Jr., CCAPP CI28760120

Addiction (Substance Use Disorder) Counselor · Chino, CA

NPI number 1417570227 Active

Practice location

16397 East Preserve Loop, 1862
Chino, CA 91708

Call (714) 492-0139 Map

Mailing address

4095 County Circle Dr
Riverside, CA 92503-3410

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI28760120 (CA)
Case Manager/Care Coordinator 171M00000XCI28760120 (CA)

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

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About NPI 1417570227

Roy Carranza Jr., CCAPP CI28760120's National Provider Identifier is 1417570227, issued on May 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chino, CA. The record was last updated on Apr 30, 2024.