NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL NPI 1417261983

NPI Information

  • NPI: 1417261983
  • Provider Name: NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Doing Business As: NCADD OF ESG & PV
  • Address: 4626 NORTH GRAND AVE
    COVINA, CA
    ZIP 91724
  • Phone: (626) 331-5316

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NPI Details

NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL is an addiction (substance use disorder) counselor in Covina, CA. NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE OF EAST SAN GABRIEL NPI is 1417261983. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Ncadd Of Esg & Pv.

The provider's business location address is:

4626 NORTH GRAND AVE
COVINA, CA
ZIP 91724-055
Phone: (626) 331-5316
Fax: (626) 332-2219

The provider's authorized official is Cheryl Ann Rvedi .
The authorized official title is Executive Director and has the following contact phone number (626) 331-5316.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)19-003-01-123CALIFORNIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)190241CNCALIFORNIAYes

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This page was last updated on: 11/21/2025

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