Individual provider · Type 1 NPI

Susan Lee White, CATC-CAADE-040950

Addiction (Substance Use Disorder) Counselor · Colton, CA

NPI number 1699809327 Active

Practice location

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

Fax (909) 433-9830

Mailing address

901 E Washington St, 171
Colton, CA 92324-8133

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0040950 (CA)

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

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About NPI 1699809327

Susan Lee White, CATC-CAADE-040950's National Provider Identifier is 1699809327, issued on Mar 15, 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 8, 2007.