Individual provider · Type 1 NPI

Carmen Marie Puebla

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1821780693 Active

Practice location

349 W 11th St
San Bernardino, CA 92410-3513

Mailing address

1100 N D St
San Bernardino, CA 92410-3524

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1507820523 (CA)

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

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About NPI 1821780693

Carmen Marie Puebla's National Provider Identifier is 1821780693, issued on May 22, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on May 22, 2023.