Individual provider · Type 1 NPI

Carmen Dionne Early, SUDRC 15389

Addiction (Substance Use Disorder) Counselor · Fontana, CA

NPI number 1790502680 Active

Practice location

7806 Sierra Ave Apt 314
Fontana, CA 92336-3388

Call (909) 688-8003 Map

Mailing address

4646 Elmo Drive, 4646
Los Angeles, CA 90019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15398 (CA)

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

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About NPI 1790502680

Carmen Dionne Early, SUDRC 15389's National Provider Identifier is 1790502680, issued on Sep 23, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fontana, CA. The record was last updated on Sep 23, 2024.