Healthcare Provider Details

I. General information

NPI: 1871838136
Provider Name (Legal Business Name): CHRISTINA MARIE SATTERWHITE-HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 SAN JACINTO RIVER RD SUITE 107
LAKE ELSINORE CA
92530-4400
US

IV. Provider business mailing address

14050 CHERRY AVE # R255
FONTANA CA
92337-0766
US

V. Phone/Fax

Practice location:
  • Phone: 951-674-9243
  • Fax: 951-674-9635
Mailing address:
  • Phone: 909-329-0829
  • Fax: 951-674-9635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number128072
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: