Crystal Capitan
Counselor, Addiction (Substance Use Disorder) in Banning, CA. Individual provider (NPI-1).
NPI number1942018403
StatusActive
Last updated in NPPESAug 14, 2026
Details
- NPI
- 1942018403
- Entity type
- Individual (NPI-1)
- Name
- Crystal Capitan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2024
- Certification date
- Aug 14, 2026
- Last updated
- Aug 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
1035 W Ramsey St Ste ABanning, CA 92220-4400
Phone 951-683-6596
Mailing address
5870 Arlington AveRiverside, CA 92504-2037
Phone 951-683-6596
Other practice locations
1035 W Ramsey St Ste A
Banning, CA 92220-4400
Banning, CA 92220-4400
Phone 951-849-3896
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