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NPI Code Detail

MEDICARE: CHERISH RENEE CELESTINE

MEDICARE: CHERISH RENEE CELESTINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorR1550630224CA

General Provider Information

NPI Number : 1053168963
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERISH RENEE CELESTINE
Provider Business Mailing Address
First Line : 5655 ARDILLA AVE
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-3222
Country : US
Telephone Number : 58-464-4660
Fax Number :
Provider Business Practice Location Address
First Line : 5655 ARDILLA AVE
Second Line :
City : ATASCADERO
State : CA
Zip : 93422-3222
Country : US
Telephone Number : 58-464-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/30/2024

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Directions to “ CHERISH RENEE CELESTINE ” Practice Location

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