| Breaking Free Of Addiction | |
|
29399 Pierce Ave Lake Elsinore CA 92530-4832 | |
| (951) 443-9758 | |
| Not Available |
| Full Name | Breaking Free Of Addiction |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 29399 Pierce Ave, Lake Elsinore, California |
| Authorized Official Name and Position | Christy Lennox (CD COUNSELOR) |
| Authorized Official Contact | 9514439758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Free Of Addiction 5790 Magnolia Ave Ste 202 Riverside CA 92506-1874 Ph: (941) 443-9758 | Breaking Free Of Addiction 29399 Pierce Ave Lake Elsinore CA 92530-4832 Ph: (951) 443-9758 |
| NPI Number | 1831560531 |
|---|---|
| Provider Enumeration Date | 10/08/2015 |
| Last Update Date | 10/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831560531 | NPI | - | NPPES |
| A8250912 | Other | CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A8250912 (California) | Primary |
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