Individual provider · Type 1 NPI

Penny Jennifer Ann Crisostomo, RADT

Addiction (Substance Use Disorder) Counselor · Trabuco Canyon, CA

NPI number 1831715192 Active

Practice location

20331 Flanagan Road
Trabuco Canyon, CA 92679

Fax (818) 582-8836

Mailing address

2301 E Ball Rd Apt 153
Anaheim, CA 92806-5312

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1371921119 (CA)

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

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About NPI 1831715192

Penny Jennifer Ann Crisostomo, RADT's National Provider Identifier is 1831715192, issued on Jun 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Trabuco Canyon, CA. The record was last updated on Jun 23, 2020.