Individual
CHRISTINA AUDELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17270 ROOSEVELT ST, RIVERSIDE, CA 92508-9523
(951) 683-6596
Mailing address
1076 SANTO ANTONIO DR, SUITE B, COLTON, CA 92324-8103
(909) 433-9824
(909) 433-9830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAADE 4332-R
CA
Other
Enumeration date
11/08/2013
Last updated
03/07/2018
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