CorpID/LocID

Practitioner List:

 INLAND VALLEY DRUG AND ALCOHOL RECOVERY SERVICES
 1260 East Arrow Highway, Building B & C,
 Upland, CA  91786

Filter Practitioner Type:

First NameLast NamePractitioner TypeNPICalifornia License NumberCalifornia License TypeCultural Competence Training
AIMEEPROVOST Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 174004152418797Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
ASHLEYYUEN Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1528743929119821Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
JOHNDALIVA Physician (MD or DO) 176083666217362Medical Board of California (MD or DO)Yes
KaramSamaan Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 100368959720577Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MARCELMPIANA Physician Assistant (PA) 142740034053975Physician’s Assistant Board (PA)Yes