MS. MARY GURROLA CADTP
NPI 1124168455
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Q: What is Mary Gurrola's NPI number?

The NPI number for Mary Gurrola is 1124168455. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Mary Gurrola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Mary Gurrola was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 07, 2007

1094 S E ST, SAN BERNARDINO, CA 92415(909) 388-1905(909) 381-1062 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2023, Dec 28, 2022 (2 updates tracked since 2022).

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About Ms. Mary Gurrola Cadtp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY GURROLA CADTP (NPI 1124168455) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (6029) and active in the NPI registry since February 2007. She maintains a secondary practice location in Rialto.

NPPES Registry Identity

NPI1124168455

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMS. MARY GURROLACredential: CADTP

Location Address1094 S E STSan Bernardino, CA 92415-5230

Mailing Address1094 S E StSan Bernardino, CA 92415-0084 · (909) 388-1905

Phone(909) 388-1905

Fax(909) 381-1062

Sole ProprietorYes

Enumeration DateFebruary 7, 2007

Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2023

✔ NPI 1124168455 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

Licenses✔ Licensed in CA · 6029✔ Licensed in CA · G0407170935

1094 S E ST, San Bernardino, CA 92415

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Secondary Practice Location 1

Location 1850 E Foothill BlvdRialto, CA 92376-5230 · Phone (909) 421-9406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gurrola's NPI number?

The NPI number for Mary Gurrola is 1124168455. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Mary Gurrola located?

Mary Gurrola practices at 1094 S E St, San Bernardino, CA 92415. The listed phone number is (909) 388-1905.

What is Mary Gurrola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Gurrola was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.