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KRYSTAL ELVIA CANCELADA
NPI 1265990386
Counselor - Addiction (Substance Use Disorder) in Moreno Valley, CA

Active since March 07, 2019
23119 COTTONWOOD AVE STE 101, MORENO VALLEY, CA 92553(951) 413-5130(951) 413-5230 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystal Elvia Cancelada NPPES

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

KRYSTAL ELVIA CANCELADA (NPI 1265990386) is an individual addiction (substance use disorder) provider in Moreno Valley, California and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1265990386
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRYSTAL ELVIA CANCELADA
Location Address23119 COTTONWOOD AVE STE 101Moreno Valley, CA 92553-9661
Mailing Address23119 Cottonwood Ave Ste 101Moreno Valley, CA 92553-9661 · (951) 413-5130 · Fax (951) 413-5230
Phone(951) 413-5130
Fax(951) 413-5230
Sole ProprietorNo
Enumeration DateMarch 7, 2019
✔ NPI 1265990386 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
23119 COTTONWOOD AVE STE 101, Moreno Valley, CA 92553
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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 Krystal Cancelada's NPI number?

The NPI number for Krystal Cancelada is 1265990386. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Krystal Cancelada located?

Krystal Cancelada practices at 23119 Cottonwood Ave Ste 101, Moreno Valley, CA 92553. The listed phone number is (951) 413-5130.

What is Krystal Cancelada'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 Krystal Cancelada was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.