VANESSA STALLWORTH

SAN BERNARDINO, CA
NPI1235800087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1440340721)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  APCC14195)
Enumeration Date2021-09-22
Last Update Date2023-09-04
Business Address
VANESSA STALLWORTH
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146
Mailing Address
VANESSA STALLWORTH
1963 N E ST
SAN BERNARDINO, CA 92405-3919
Phone number: 909-881-6146