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Natalie Lanae Fish
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1366952079

Natalie Lanae Fish is an Addiction (Substance Use Disorder) Counselor based in Banning, CA and is specialized in Addiction (Substance Use Disorder). Natalie Lanae Fish practices in Riverside, CA. The NPI Number for Natalie Lanae Fish is 1366952079 and holds a License No. 8753-R (California).

The current practice location address for Natalie Lanae Fish is 5870 Arlington Ave # 103, Riverside, CA and can be reached out via phone at 951-683-6596. You can also correspond with Natalie Lanae Fish through the mailing address at 10531 POLAND PL, BANNING, CA - 92220-1561 (mailing address contact number: 951-206-1173).

Location: 5870 Arlington Ave # 103, Riverside, CA, 92220-1561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366952079
Provider Name
Natalie Lanae Fish
Credential
Provider Entity Type
Individual
Gender
Female
Address
5870 Arlington Ave # 103, Riverside, CA, 92220-1561
Phone Number
951-683-6596
Fax Number
Provider Enumeration Date
10/08/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8753-R 01 CA CAADE
institution
Provider Business Practice Location Address Details
Address
5870 Arlington Ave # 103
City
Riverside
State
California
Zip
92504-2037
Phone Number
951-683-6596
Fax Number
person
Provider Business Mailing Address Details
Address
5870 Arlington Ave # 103
City
Riverside
State
California
Zip
92504-2037
Phone Number
951-683-6596
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
8753-R (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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