Individual
DR. YELENA SVERDLOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., RADT
Contact information
Practice address
1718 CASEROS DR, SAN JACINTO, CA 92582-3304
(951) 557-3777
Mailing address
PO BOX 1027, YUCAIPA, CA 92399-1027
(951) 557-3777
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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