AMANDA LUIS CADC II
NPI 1043762917
Counselor - Addiction (Substance Use Disorder) in Riverside, CA
Active since October 26, 2016
About Amanda Luis Cadc Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA LUIS CADC II (NPI 1043762917) is an individual addiction (substance use disorder) provider in Riverside, California and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1043762917
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA LUISCredential: CADC II
Location Address2452 WILSHIRE STRiverside, CA 92501-2144
Mailing Address2743 Orange StRiverside, CA 92501-2538 · (951) 452-2029
Phone(951) 682-6631
Sole ProprietorYes
Enumeration DateOctober 26, 2016
Last NPPES UpdateAugust 22, 20244 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1043762917 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2452 WILSHIRE ST, Riverside, CA 92501
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
Counselor (Addiction (Substance Use Disorder))
2452 WILSHIRE ST
RIVERSIDE, CA 92501
RIVERSIDE, CA 92501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043762917, enumerated as an "individual" on October 26, 2016.
The provider is located at 2452 WILSHIRE ST RIVERSIDE, CA 92501 and the phone number is (951) 682-6631.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
