Individual provider · Type 1 NPI

Alfreda Yvonne Bantum, M.S.

Mental Health Counselor · San Bernardino, CA

NPI number 1982823944 Active

Practice location

1505 W Highland Ave Ste 17
San Bernardino, CA 92411-1215

Call (909) 880-9130 Map

Fax (909) 473-1918

Mailing address

20426 Tobira Ln
Riverside, CA 92508-3030

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Counselor Primary 101YM0800X55644 (CA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1982823944

Alfreda Yvonne Bantum, M.S.'s National Provider Identifier is 1982823944, issued on Apr 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Bernardino, CA. The record was last updated on Mar 15, 2013.