Individual
CARL ROYER EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RS
Contact information
Practice address
601 E FLORIDA AVE, HEMET, CA 92543-4335
(951) 391-1470
Mailing address
601 E FLORIDA AVE, HEMET, CA 92543-4335
(951) 391-1470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333901
—
CA
05
—
333903
—
CA
Enumeration date
01/28/2009
Last updated
05/06/2020
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