Individual
CARISSA KIMBERLY PELLERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUBSTANCE ABUSE COUN
Contact information
Practice address
4544 SAN FERNANDO RD, GLENDALE, CA 91204-1987
(818) 240-8843
(818) 240-8885
Mailing address
23520 STILLWATER PL, SANTA CLARITA, CA 91321-3555
(818) 240-8843
(818) 240-8885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
F7857329
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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