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

Penny Jennifer Ann Crisostomo, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831715192

Penny Jennifer Ann Crisostomo, RADT is an Addiction (Substance Use Disorder) Counselor in Trabuco Canyon, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

20331 Flanagan Rd
Trabuco Canyon, CA 92679
Phone: (818) 582-8832
Fax: (818) 582-8836
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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 · Licence R1371921119 (CA)

Record details

NPI number1831715192
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESJune 23, 2020
Certification dateJune 23, 2020

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