Individual provider · Type 1 NPI
Carissa Kimberly Pellerin, SUBSTANCE ABUSE COUN
Addiction (Substance Use Disorder) Counselor · Glendale, CA
NPI number
1831868595
Active
Practice location
4544 San Fernando Rd
Glendale, CA 91204-1987
Fax (818) 240-8885
Mailing address
23520 Stillwater Pl
Santa Clarita, CA 91321-3555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | F7857329 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1831868595
Carissa Kimberly Pellerin, SUBSTANCE ABUSE COUN's National Provider Identifier is 1831868595, issued on Sep 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, CA. The record was last updated on Sep 7, 2021.