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

MS. Mary Gurrola, CADTP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1124168455

MS. Mary Gurrola, CADTP is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

1094 S E St
San Bernardino, CA 92415-5230
Phone: (909) 388-1905
Fax: (909) 381-1062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 850 E Foothill Blvd, Rialto, CA 92376-5230 — (909) 421-9406

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 6029 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence G0407170935 (CA)

Record details

NPI number1124168455
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADTP
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

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