Healthcare Provider Details

I. General information

NPI: 1437298148
Provider Name (Legal Business Name): ADRIAN PRESSLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 IOWA AVE SUITE 230
RIVERSIDE CA
92507-2420
US

IV. Provider business mailing address

1601 BARTON RD #3216
REDLANDS CA
92373-5306
US

V. Phone/Fax

Practice location:
  • Phone: 951-369-8604
  • Fax: 951-715-4594
Mailing address:
  • Phone: 951-415-6261
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: