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Search › California › Addiction (Substance Use Disorder) Counselor

Justin Ciasullo

NPI 1346068624 · on the registry since 2024 · sole proprietor

Practice

Address
239 W 9th St
Upland, CA 91786
Phone
(909) 981-6121
Organisation at this address
His House New Creation Treatment Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California