| Justin Wyatt Ciasullo, | |
|
239 W 9th St, Upland, CA 91786-5979 | |
| (909) 981-6121 | |
| Not Available |
| Full Name | Justin Wyatt Ciasullo |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 239 W 9th St, Upland, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346068624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19137 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Wyatt Ciasullo, 28561 Kalmia Ave, Moreno Valley, CA 92555-6521 Ph: (951) 743-6921 | Justin Wyatt Ciasullo, 239 W 9th St, Upland, CA 91786-5979 Ph: (909) 981-6121 |
Tanya Tobing, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1425 W Foothill Blvd, Upland, CA 91786 Phone: 909-522-2650 | |
Devin A Lockett, BMET, CE, CNT, CBPTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 Phone: 909-608-2880 | |
Chelsea Heller, MS, MS, PPS, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1483 N Erin Ave, Upland, CA 91786 Phone: 626-714-1210 | |
Safia Aniss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 E Arrow Hwy, Upland, CA 91786 Phone: 909-932-1069 | |
Leah Cervantes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 E Arrow Hwy Bldg C, Upland, CA 91786 Phone: 909-932-1069 | |
Karam Samaan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 E Arrow Hwy, Upland, CA 91786 Phone: 909-932-1069 | |
Carina Marie Shaw, M.P.A., CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 E Arrow Hwy Bldg E, Upland, CA 91786 Phone: 909-932-1069 Fax: 909-932-1087 |