Individual
CELESTE KIMBERLY STADELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE # 4, RIVERSIDE, CA 92507-2498
(951) 955-8000
Mailing address
2085 RUSTIN AVE # 4, RIVERSIDE, CA 92507-2498
(951) 955-8000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B00002820223
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1337650219
CA
171M00000X
Case Manager/Care Coordinator
Primary
B00002820223
CA
Other
Enumeration date
12/05/2021
Last updated
10/11/2023
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