Individual provider · Type 1 NPI

Crystal Maravilla

Student in an Organized Health Care Education/Training Program · Fullerton, CA

NPI number 1508414871 Active

Practice location

801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846

Call (714) 680-9000 Map

Fax (714) 680-8223

Mailing address

PO Box 919
Fullerton, CA 92836-0919

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X23-7110152 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508414871

Crystal Maravilla's National Provider Identifier is 1508414871, issued on Aug 29, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on Jun 17, 2021.