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 1740041524 Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
ASHLEYYUEN Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1528743929 Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
JOHNDALIVA Physician (MD or DO) 1760836662 Medical Board of California (MD or DO)Yes
KaramSamaan Licensed Eligible Practitioner working under the supervision of a Licensed Clinician 1003689597 Board of Behavioral Sciences (LCSW, LPCC, LMFT)Yes
MARCELMPIANA Physician Assistant (PA) 1427400340 Physician’s Assistant Board (PA)Yes