Individual provider · Type 1 NPI

T'wana Lucretia Gillison, RS8623

Addiction (Substance Use Disorder) Counselor · Colton, CA

NPI number 1679763726 Active

Practice location

1076 Santo Antonio Dr, Suite B
Colton, CA 92324-8103

Call (909) 433-9824 Map

Fax (909) 433-9527

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 1679763726

T'wana Lucretia Gillison, RS8623's National Provider Identifier is 1679763726, issued on Jul 25, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Colton, CA. The record was last updated on Jul 25, 2007.