BROOKELYN RENEE WARD
NPI 1316289978
Counselor - Addiction (Substance Use Disorder) in Fontana, CA
Active since March 21, 2013
About Brookelyn Renee Ward NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKELYN RENEE WARD (NPI 1316289978) is an individual addiction (substance use disorder) provider in Fontana, California, licensed in California (RW6108) and active in the NPI registry since March 2013.
NPPES Registry Identity
NPI1316289978
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBROOKELYN RENEE WARD
Location Address9871 SKYLAND CTFontana, CA 92335-7843
Mailing Address9871 Skyland CtFontana, CA 92335-7843 · (909) 471-3926
Phone(909) 471-3926
Sole ProprietorYes
Enumeration DateMarch 21, 2013
✔ NPI 1316289978 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
License✔ Licensed in CA · RW6108
9871 SKYLAND CT, Fontana, CA 92335
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316289978, enumerated as an "individual" on March 21, 2013.
The provider is located at 9871 SKYLAND CT FONTANA, CA 92335 and the phone number is (909) 471-3926.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
