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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831868595

Carissa Kimberly Pellerin, SUBSTANCEABUSECOUN is an Addiction (Substance Use Disorder) Counselor in Glendale, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4544 San Fernando Rd
Glendale, CA 91204-1987
Phone: (818) 240-8843
Fax: (818) 240-8885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence F7857329 (CA)

Record details

NPI number1831868595
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUBSTANCEABUSECOUN
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021

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