Individual provider · Type 1 NPI

Corrina Eggleston

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1972489474 Active

Practice location

1235 Mchenry Ave Ste A&b
Modesto, CA 95350-5370

Call (209) 527-4597 Map

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22481 (CA)

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

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About NPI 1972489474

Corrina Eggleston's National Provider Identifier is 1972489474, issued on Aug 12, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Apr 3, 2026.