Individual
ADRIANA ARDILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDCC I
Contact information
Practice address
450 E SAN JACINTO AVE, PERRIS, CA 92571-2833
(951) 955-2100
Mailing address
24323 JACKSON AVE APT 230, MURRIETA, CA 92562-7902
(619) 730-9142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
08/19/2024
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