Individual provider · Type 1 NPI

Courtney Alexis Crisostomo, RADT

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

NPI number 1992306070 Active

Practice location

20331 Flanagan Rd.
Trabuco Canyon, CA 92679

Fax (818) 582-8836

Mailing address

8142 Elmore Way Apt 5
Midway City, CA 92655-1565

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1403940920 (CA)

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

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About NPI 1992306070

Courtney Alexis Crisostomo, RADT's National Provider Identifier is 1992306070, issued on Nov 4, 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 Dec 31, 2020.