Individual
KHADEEJAH MAARIYAH BAAREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 MARKET ST, RIVERSIDE, CA 92501-1720
(951) 530-5900
Mailing address
1105 E FLORIDA AVE, HEMET, CA 92543-4512
(951) 439-2939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI3864052
CA
104100000X
Social Worker
Primary
139366
CA
171M00000X
Case Manager/Care Coordinator
CI3864052
CA
175T00000X
Peer Specialist
Primary
MPSS-AUQCTE
CA
Other
Enumeration date
06/06/2022
Last updated
07/23/2026
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