Individual provider · Type 1 NPI

Solet Prudhomme

Mental Health Counselor · San Bernardino, CA

NPI number 1780128215 Active

Practice location

1908 Business Center Dr Ste 109
San Bernardino, CA 92408-3469

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800X92712 (CA)

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About NPI 1780128215

Solet Prudhomme's National Provider Identifier is 1780128215, issued on Dec 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 8, 2020.