Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banchiamlak Kendrix

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790445104

Banchiamlak Kendrix is an Addiction (Substance Use Disorder) Counselor in Fontana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

13666 Lighthouse Ct
Fontana, CA 92336-3403
Phone: (909) 509-2214
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)

Record details

NPI number1790445104
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2021
Last updated in NPPESDecember 27, 2021
Certification dateDecember 24, 2021
Mailing address13666 Lighthouse Ct, Fontana, CA 92336-3403

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