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

Individual provider Mental Health Counselor · NPI 1801027651

Destinee Antillon, PROGRAMADMINISTRATO is a Mental Health Counselor in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2
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Practice location Address checks out

3625 14th St
Riverside, CA 92501-3815
Phone: (951) 955-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1801027651
Entity typeIndividual (Type 1)
GenderFemale
Credentials PROGRAMADMINISTRATO
Sole proprietorYes
NPI enumeratedJuly 28, 2009
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address3625 14th St, Riverside, CA 92501-3815

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