Individual provider · Type 1 NPI

Crystal Capitan

Addiction (Substance Use Disorder) Counselor · Banning, CA

NPI number 1942018403 Active

Practice location

1035 W Ramsey St Ste A
Banning, CA 92220-4400

Call (951) 683-6596 Map

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037

Other practice locations

  • 1035 W Ramsey St Ste A, Banning, CA 92220-4400 · (951) 849-3896

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1942018403

Crystal Capitan's National Provider Identifier is 1942018403, issued on Dec 30, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Banning, CA. The record was last updated on Aug 14, 2026.