person
Vanessa Stallworth
Mental Health Counselor in San Bernardino, California
NPI 1235800087

Vanessa Stallworth is a Mental Health Counselor based in San Bernardino, CA and is specialized in Mental Health. Vanessa Stallworth practices in San Bernardino, CA. The NPI Number for Vanessa Stallworth is 1235800087 and holds a License No. R1440340721 (California).

The current practice location address for Vanessa Stallworth is 1963 N E St, San Bernardino, CA and can be reached out via phone at 909-881-6146.

Location: 1963 N E St, San Bernardino, CA, 92405-3919
person
Provider Profile Details
NPI Number
1235800087
Provider Name
Vanessa Stallworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1963 N E St, San Bernardino, CA, 92405-3919
Phone Number
909-881-6146
Fax Number
Provider Enumeration Date
09/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1963 N E St
City
State
Zip
92405-3919
Phone Number
909-881-6146
Fax Number
person
Provider Business Mailing Address Details
Address
1963 N E St
City
State
Zip
92405-3919
Phone Number
909-881-6146
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
APCC14195 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R1440340721 (California)
Definition
Definition to come...
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