Leah Cervantes
Addiction Counselor (Substance Use Disorder)
1260 E Arrow Hwy Bldg C
Upland
, California 91786-4987
Leah Cervantes
Addiction Counselor (Substance Use Disorder)
1260 E Arrow Hwy Bldg C
Upland
, California 91786-4987
(909) 932-1069
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Leah Cervantes
- 1260 E Arrow Hwy Bldg C
- Upland, CA
- Zip : 91786-4987
- Phone : (909) 932-1069
Second Address
- Leah Cervantes
- 1260 E Arrow Hwy Bldg C
- Upland, CA
- Zip : 91786-4987
- Phone : (909) 932-1069
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | R1381060320 | CA |
National Provider Identifier
| NPI | 1003586678 |
|---|---|
| Provider Name | Leah Cervantes |
| First Address | Upland, CA 91786-4987 |
| Second Address | Upland, CA 91786-4987 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2021 |
| Last Update Date | 15/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.