Whalio Doctors

NPI 1013418003

Gail Louise Leavitt, CPSS

Practitioner Peer Specialist Riverside, CA

Practice location

Address
2085 Rustin Ave, Riverside, CA 92507-2498
Phone
(951) 955-1183
Mailing address
845 E Arrow Hwy, Pomona, CA 91767-2535

Registered specialties (2)

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence MPSS-UEZKXB (CA)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1013418003
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Feb 2018
Record last updated
15 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.