Justin Wyatt Ciasullo
Justin Wyatt Ciasullo is an Addiction (Substance Use Disorder) Counselor in Upland, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
239 W 9th StUpland, CA 91786-5979
Phone: (909) 981-6121
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 19137 (CA) |
|---|
Record details
| NPI number | 1346068624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2024 |
| Last updated in NPPES | October 24, 2024 |
| Certification date | October 24, 2024 |
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Mr. Kevin Brian Carter, BA, CAODC
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Melissa V Cervantes
239 W 9th St, Upland, CA 91786-5979 · (909) 981-6121
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Rebecca Cervantez
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Matthew Clark
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