MISS CELISSA ARLITHA VAN
NPI 1952606600
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA
Active since January 11, 2011
About Miss Celissa Arlitha Van NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS CELISSA ARLITHA VAN (NPI 1952606600) is an individual addiction (substance use disorder) provider in San Bernardino, California and active in the NPI registry since January 2011.
NPPES Registry Identity
NPI1952606600
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS CELISSA ARLITHA VAN
Location Address1963 N E STSan Bernardino, CA 92405-3919
Mailing Address1963 N E StSan Bernardino, CA 92405-3919 · (909) 881-6146 · Fax (909) 881-0111
Phone(909) 881-6146
Fax(909) 881-0111
Sole ProprietorNo
Enumeration DateJanuary 11, 2011
✔ NPI 1952606600 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
1963 N E ST, San Bernardino, CA 92405
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952606600, enumerated as an "individual" on January 11, 2011.
The provider is located at 1963 N E ST SAN BERNARDINO, CA 92405 and the phone number is (909) 881-6146.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).