Individual provider · Type 1 NPI

Mariah Ealy

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1801438916 Active

Practice location

5870 Arlington Ave
Riverside, CA 92504-2037

Mailing address

94 N San Mateo St Apt D
Redlands, CA 92373-4481

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 1801438916

Mariah Ealy's National Provider Identifier is 1801438916, issued on Oct 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Oct 9, 2019.