Substance Abuse Prevention and Treatment Programs

Substance Abuse Prevention and Treatment Programs,

Directory of Network Providers

January, 2022

Current as of: 1/5/2022

*SAPT = Substance Abuse

Prevention and Treatment

Program

RUHS-BH-Substance Abuse Prevention Treatment

Desert

Intensive Outpatient Clinic

Contract

Provider Name: ABC Recovery Center, Inc.

82353 Indio Blvd., Indio, CA 92201 ph:760-342-6616 fax: 760-347-8276

Currently accepting new referrals: Yes

ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes

Distance to closest public transportation: Between .5-1.0 miles

Languages: English, Spanish

Specialties:

Culture: Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Race: American Indian, Black/African-American, Chinese, Filipino, Hispanic/Latino, White, Multiracial

Population: Transitional Aged 18 - 20, Adults 21 and over

Cultural

Competence

Training LicensureStaff Name

Cultural

Competence

TrainingLicensureStaff Name

NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA

NoLicensed Marriage and Family

Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT

YesRegistered Substance Use

Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON

NoCertified Substance Use Disorder

Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES

NoPhysician 1013969161/

A45202

CARBAJAL,

MARIANNA

NoRegistered Substance Use

Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A

EIDSON, JULIE NoRegistered Nurse 1023689346/

0000

FONTANILLA,

ROBERT

NoNurse Practitioner 1184005258/

PA52552

GOMEZ, ADRIANA NoCertified Substance Use Disorder

Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A

Page 5 of 61

RUHS-BH-Substance Abuse Prevention Treatment GRIFFITHS, JOHN NoCertified Substance Use Disorder

Counselor

1457881518/

N/A

HERNDON, JAMES NoNurse Practitioner 1689924581/

16694

LAWSON, SARAH NoCertified Substance Use Disorder

Counselor

1427633791/

N/A

NEBO, MICHAEL YesRegistered Substance Use

Disorder Counselor

1548748817/

N/A

PACHECO, BEATRIZ YesRegistered Substance Use

Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A

STAFFORD, STEVE NoRegistered Nurse 1871063198/

LVN

VOLSKY, VICTORIA NoCertified Substance Use Disorder

Counselor

1952068058/

N/A

WILLIAMS, BRYAN NoLicensed Eligible Practitioners

working under the supervision of

a Licensed Clinician

1750801932/

65335


44374 Palm Street, Indio, CA 92201 ph:760-342-6616 fax: 760-347-8276





Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A

Page 6 of 61

RUHS-BH-Substance Abuse Prevention Treatment EIDSON, JULIE NoRegistered Nurse 1023689346/

0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A

GRIFFITHS, JOHN NoCertified Substance Use Disorder

Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335


44435 Biskra St., Indio, CA 92201 ph:760-342-6616 fax: 760-347-8276





Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

Page 7 of 61

RUHS-BH-Substance Abuse Prevention Treatment BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335

Provider Name: MFI Banning Outpatient

1035 W Ramsey Street A, Banning, CA 92220 ph:951-683-6596 fax: 951-351-1554


ADA Compliant for Physical Plant: No TDD/TTY Equipment Available: No

Distance to closest public transportation: Less than .25 miles

Languages: English, Other Interpretation Services, Spanish

Specialties: Case Management, Certified Alcohol Counselor, Clinical Therapist, Family Therapy, Individual Therapy, Medication Assisted Treatment (MAT), Mental

Health Counseling, MH Counselor, Psychiatrist, Social Worker, Substance Abuse


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ARIAS, DEBRA YesCertified Substance Use Disorder

Counselor

1902080039/

N/A

BADER, THERESA YesLicensed Eligible Practitioners


a Licensed Clinician, Certified

Substance Use Disorder

Counselor

1972933893/

AMFT89960

Page 8 of 61

RUHS-BH-Substance Abuse Prevention Treatment BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA

YesLicensed Eligible Practitioners



1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A

DEJESUS, VIOLETA YesPhysician 1144248410/

A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A

ENGLAND, ALLISON YesLicensed Eligible Practitioners



1194350439/

7525

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA

YesLicensed Marriage and Family

Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA

YesCertified Substance Use Disorder

Counselor

1316281769/

Aii15900618

MARSHALL, VENUS YesCertified Substance Use Disorder

Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A

NAVAR, FREDDY YesRegistered Substance Use

Disorder Counselor

1093217358/

N/A

OGLE, ALEXANDER YesRegistered Substance Use

Disorder Counselor

1023653953/

N/A

ORTIZ, LUIS NoRegistered Substance Use

Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468

SANROMAN,

VICTOR

YesNurse Practitioner 1669766200/

16303

SARFATY, SIDNEY YesCertified Substance Use Disorder

Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A

VALDEZ, MICHAEL YesPhysician 1205923224/

G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: Desert Hot Springs SAPT

14320 Palm Drive, Desert Hot Springs, CA 92240 ph:760-770-2264 fax: 760-770-2230



Distance to closest public transportation: Between .25-.5 miles

Languages: American Sign Language (ASL), English, Spanish

Specialties:

Page 9 of 61

RUHS-BH-Substance Abuse Prevention Treatment Population: Adolescent 12 - 17, Transitional Aged 18 - 20, Adults 21 and over

Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BOLTER, RICHARD YesCertified Substance Use Disorder

Counselor

1174851257/

N/A

CHAVEZ, CYNTHIA YesCertified Substance Use Disorder

Counselor

1164080305/

N/A

DUFFY, KRISTEN

DONNET

NoPeer Support Specialist 1073819132/

R1244750217

GONZALEZ,

TERESA


Disorder Counselor

1790104214/

N/A

KHAN, M-SHAHID NoPhysician 1770518771/

A81486

KUALAGILBERT,

KEHAU

YesLicensed Clinical Social Worker 1093251779/

LCSW 73355

MCGREW,

ERNESTINA

ELIZABETH

YesRegistered Nurse 1013530534/

693114

MCLAIN, MICHAEL YesCertified Substance Use Disorder

Counselor

1629352000/

N/A

MENDOZA, ISMAEL YesCertified Substance Use Disorder

Counselor

1619342508/

N/A

MILES, ROBERT NoLicensed Eligible Practitioners



1821645599/

ASW86285

OTIENO, BELINDA YesLicensed Eligible Practitioners



1013369164/

ASW96037

RAMIREZ, MELINA YesCertified Substance Use Disorder

Counselor

1053982074/

N/A

VIELMA, JO-EL YesPeer Support Specialist 1699060020/

N/A

Provider Name: Blythe SAPT

1297 West Hobsonway, Blythe, CA 92225 ph:760-921-5000





Specialties:

Population: Adolescent 12 - 17, Transitional Aged 18 - 20, Adults 21 and over

Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ALCALA, DANIEL NoCertified Substance Use Disorder

Counselor

1134543804/

N/A

DAHLSTROM, CARL

ANDREW


Counselor

1316484819/

N/A

Page 10 of 61

RUHS-BH-Substance Abuse Prevention Treatment DUFFY, KRISTEN

DONNET


R1244750217

HARO, EMANUEL YesCertified Substance Use Disorder

Counselor

1568648459/

N/A


A81486

KUALAGILBERT,

KEHAU


LCSW 73355

MCGREW,

ERNESTINA

ELIZABETH


693114

SANDOVAL,

ANDREA


Therapist

1134419716/

LMFT87916

SHEPPARD,

CHRISTOPHER

DAVID


Counselor

1033533781/

C051940418


N/A

Opioid Treatment Program

Contract

Provider Name: Desert Treatment Center

1330 N Indian Canyon Drive A B, Palm Springs, CA 92262 ph:760-322-9065 fax: 760-322-8916


ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No



Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

CAMERON, LESLIE YesLicensed Professional Clinical

Counselor

1477928158/

A054040319

HAYNES-CASEY,

JENNIFER


236665

JACINTHO,

CATHERINE


Counselor

1578745782/

N/A

JACUINDE,

JESSICA




1013439298/

689748

JAIMES, EDITH NoRegistered Substance Use

Disorder Counselor

1700410883/

R1242680217

LIN, WENDY NoPhysician 1275066524/

1275066524

MATTIA, URIAH YesRegistered Substance Use

Disorder Counselor

1144887431/

N/A

MAXSON,

JACQUELINE


234891

Page 11 of 61

RUHS-BH-Substance Abuse Prevention Treatment MEZA, ELVIRA

SHAUNISE

YesLicensed Professional Clinical

Counselor

1801494265/

r1339600319

MILAM, BENJAMIN YesPhysician 1467949958/

1467949958

MONGIOVI,

SHAWNA

NoLicensed Professional Clinical

Counselor, Registered Substance

Use Disorder Counselor

1003433137/

1003433137

MOTT, JOSEPH

ABRAHAM

YesPhysician 1033452727/

G78419

SAHAKYAN,

ARAYIKOVICH


A169931

SHAVER, NICOLE YesLicensed Professional Clinical

Counselor

1013531078/

1013531078

WARING, ANTHONY YesLicensed Professional Clinical

Counselor

1922217090/

A019640715

WITRAGO,

SUSANNA




1528259140/

197301

Outpatient Drug Free Clinic

Contract







Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

Page 12 of 61

RUHS-BH-Substance Abuse Prevention Treatment BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335


44374 Palm Street, Indio, CA 92201 ph:760-342-6616 fax: 760-347-8276





Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

Page 13 of 61

RUHS-BH-Substance Abuse Prevention Treatment ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335







Specialties:




Page 14 of 61

RUHS-BH-Substance Abuse Prevention Treatment Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335

Provider Name: Riverside County Latino Commission Counseling Center (ODF)

1612 First St., Coachella, CA 92236 ph:760-398-9000 fax: 760-398-9790





Specialties: Substance Abuse

Population: Adolescent 12 - 17

Page 15 of 61


Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BARAJAS, RUBY YesCertified Substance Use Disorder

Counselor

1184961849/

C29051214

LOPEZ, ARNOLD YesCertified Substance Use Disorder

Counselor

1467741389/

N/A

LOPEZ, DANIEL YesCertified Substance Use Disorder

Counselor

1306132980/

N/A

Provider Name: MFI Banning Outpatient

1035 W Ramsey Street A, Banning, CA 92220 ph:951-683-6596 fax: 951-351-1554





Specialties: Case Management, Certified Alcohol Counselor, Clinical Therapist, Family Therapy, Individual Therapy, Medication Assisted Treatment (MAT), Mental

Health Counseling, MH Counselor, Psychiatrist, Social Worker, Substance Abuse


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

Page 16 of 61

RUHS-BH-Substance Abuse Prevention Treatment KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468

SANROMAN,

VICTOR


16303


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: Desert Hot Springs SAPT

14320 Palm Drive, Desert Hot Springs, CA 92240 ph:760-770-2264 fax: 760-770-2230





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BOLTER, RICHARD YesCertified Substance Use Disorder

Counselor

1174851257/

N/A

CHAVEZ, CYNTHIA YesCertified Substance Use Disorder

Counselor

1164080305/

N/A

DUFFY, KRISTEN

DONNET


R1244750217

GONZALEZ,

TERESA


Disorder Counselor

1790104214/

N/A


A81486

KUALAGILBERT,

KEHAU


LCSW 73355

Page 17 of 61

RUHS-BH-Substance Abuse Prevention Treatment MCGREW,

ERNESTINA

ELIZABETH


693114

MCLAIN, MICHAEL YesCertified Substance Use Disorder

Counselor

1629352000/

N/A

MENDOZA, ISMAEL YesCertified Substance Use Disorder

Counselor

1619342508/

N/A




1821645599/

ASW86285

OTIENO, BELINDA YesLicensed Eligible Practitioners



1013369164/

ASW96037

RAMIREZ, MELINA YesCertified Substance Use Disorder

Counselor

1053982074/

N/A


N/A

Provider Name: Blythe SAPT

1297 West Hobsonway, Blythe, CA 92225 ph:760-921-5000





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1134543804/

N/A

DAHLSTROM, CARL

ANDREW


Counselor

1316484819/

N/A

DUFFY, KRISTEN

DONNET


R1244750217

HARO, EMANUEL YesCertified Substance Use Disorder

Counselor

1568648459/

N/A


A81486

KUALAGILBERT,

KEHAU


LCSW 73355

MCGREW,

ERNESTINA

ELIZABETH


693114

SANDOVAL,

ANDREA


Therapist

1134419716/

LMFT87916

SHEPPARD,

CHRISTOPHER

DAVID


Counselor

1033533781/

C051940418


N/A

Page 18 of 61


Provider Name: Indio Day Reporting Center- Substance Use

46-900A Monroe Street 101, Indio, CA 92201 ph:760-863-7219




Languages: English

Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

GONZALEZ,

ANASTACIA

MELISSA


Counselor

1164892220/

167524II

CATCII


A81486

MADDOX, DONALD YesLicensed Eligible Practitioners



1871842385/

640640

MCGREW,

ERNESTINA

ELIZABETH


693114

MURILLO, SAMUEL YesPeer Support Specialist 1023584737/

N/A

PHAM-MARTINEZ,

DIANA H


N/A

REYNOSA, IRENE YesLicensed Eligible Practitioners



1437772316/

107369


N/A

Residential

Contract




Page 19 of 61

RUHS-BH-Substance Abuse Prevention Treatment ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes



Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335


Page 20 of 61

RUHS-BH-Substance Abuse Prevention Treatment 44374 Palm Street, Indio, CA 92201 ph:760-342-6616 fax: 760-347-8276





Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A




1750801932/

65335

Page 21 of 61








Specialties:




Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ADDEO, ANN

FREDA


Therapist

1073798997/

155018

ALARCON,

LYNETTE


Therapist

1043798317/

106422

ANDERSON,

ALBERT


Disorder Counselor

1457738056/

N/A

ANDERSON,

ALLISON


Counselor

1164952404/

N/A

BOTWIN, ALLISON

JAMES


A45202

CARBAJAL,

MARIANNA


Disorder Counselor

1902318470/

N/A

CORNEY,

CHRISTINE


Disorder Counselor

1770013856/

N/A

COURREGES,

JOHNNY


Counselor

1811417025/

N/A


0000

FONTANILLA,

ROBERT


PA52552


Counselor

1437679032/

N/A

GREENLEAF,

BRIAN NEAL


Disorder Counselor

1457812885/

N/A


Counselor

1457881518/

N/A


16694


Counselor

1427633791/

N/A


Disorder Counselor

1548748817/

N/A


Disorder Counselor

1174921613/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A


LVN


Counselor

1952068058/

N/A

Page 22 of 61

RUHS-BH-Substance Abuse Prevention Treatment WILLIAMS, BRYAN NoLicensed Eligible Practitioners



1750801932/

65335

Provider Name: Michael's Treatment Home for Adolescent Boys

43485 Hollyhock Street, Indio, CA 92201-1976 ph:760-619-2860





Specialties: Depression


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1184961849/

C29051214

Provider Name: Bea's Treatment Home for Adolescent girls

50173 Calle Marbella, Coachella, CA 92236-9575 ph:442-256-3145





Specialties:


Page 23 of 61


Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1184961849/

C29051214

Provider Name: Casa Cecilia Recovery Home

83385 Rosa Avenue, Thermal, CA 92274-9506 ph:760-398-9000





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1184961849/

C29051214

LOPEZ, ARNOLD YesCertified Substance Use Disorder

Counselor

1467741389/

N/A

LOPEZ, DANIEL YesCertified Substance Use Disorder

Counselor

1306132980/

N/A

Provider Name: The Ranch

7885 Annandale Ave, Desert Hot Springs, CA 92240 ph:760-329-2924 fax: 760-251-2932



Distance to closest public transportation: Greater than 1.0 miles


Page 24 of 61

RUHS-BH-Substance Abuse Prevention Treatment Specialties: Adults Only, Family Therapy, Gender Specific Treatment, Group Therapy, Individual Therapy, Male Issues, Medication Assisted Treatment (MAT),

Substance Abuse, Trauma Informed


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BUCHANAN,

MACKENZIE


Counselor

1114498318/

N/A

BUTCHER, MIKLE

DAVID


Disorder Counselor

1649787144/

N/A

CHAVEZ,

ELIZABETH


Counselor

1619340056/

N/A

CLAIRE, MITCHELL YesPhysician Assistant 1881611317/

PA12917

CLIPPER, JOSEPH YesRegistered Substance Use

Disorder Counselor

1457914749/

N/A

CRESS, ALISSA YesCertified Substance Use Disorder

Counselor

1902447931/

N/A

DEPRATI, KIM NoPhysician Assistant 1871750257/

PA53971

ENNACO, HOWARD YesRegistered Substance Use

Disorder Counselor

1336656834/

N/A

FLORES,

CHRISTINA


Counselor

1740653013/

N/A

GARNETT, DONNA YesCertified Substance Use Disorder

Counselor

1053836346/

N/A

GOMEZ, GREGORY

RAUL


Therapist

1205348968/

109071

GREENWALD,

MITCHELL


Disorder Counselor

1235756164/

N/A

HEBRON, SCOTT YesCertified Substance Use Disorder

Counselor

1477005825/

N/A

HESSLER,

CASSANDRA

PATRICIA


Counselor

1700446168/

N/A

HILL, RACHEL LYNN YesCertified Substance Use Disorder

Counselor

1750842274/

N/A

HOLCOMB, RALPH YesCertified Substance Use Disorder

Counselor

1689047003/

N/A

HUNTER, SCOTT

GERARD


Disorder Counselor

1811533383/

N/A

LANG, JOSHUA

MATTHEW


Disorder Counselor

1134709777/

N/A

LOERA, JOE NoRegistered Substance Use

Disorder Counselor

1093388332/

N/A

MCCOY, TINA NoRegistered Substance Use

Disorder Counselor

1285274191/

N/A

RUSS, KENNETH YesPhysician 1245258235/

20A3971

SANTUCCI, SOPHIA NoRegistered Substance Use

Disorder Counselor

1497389852/

N/A

SCOTT,

CHRISTOPHER

ALLEN


Disorder Counselor

1386212686/

N/A

SILER, LORI B. YesRegistered Substance Use

Disorder Counselor

1437628757/

N/A

STOLTZ, CELIA L YesLicensed Clinical Psychologist 1114912318/

94023901

Provider Name: Hacienda Valdez

12890 Quinta Way, Desert Hot Springs, CA 92240 ph:760-329-2959 fax: 760-329-2953



Page 25 of 61

RUHS-BH-Substance Abuse Prevention Treatment Distance to closest public transportation: Less than .25 miles


Specialties: Certified Alcohol Counselor, Family Therapy, Female Issues, Gender Specific Treatment, Group Therapy, Individual Therapy, Medication Assisted

Treatment (MAT), Substance Abuse, Trauma Informed


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BUCHANAN,

MACKENZIE


Counselor

1114498318/

N/A

BUTCHER, MIKLE

DAVID


Disorder Counselor

1649787144/

N/A

CHAVEZ,

ELIZABETH


Counselor

1619340056/

N/A

CLAIRE, MITCHELL YesPhysician Assistant 1881611317/

PA12917

CLIPPER, JOSEPH YesRegistered Substance Use

Disorder Counselor

1457914749/

N/A

CRESS, ALISSA YesCertified Substance Use Disorder

Counselor

1902447931/

N/A


PA53971

ENNACO, HOWARD YesRegistered Substance Use

Disorder Counselor

1336656834/

N/A

FLORES,

CHRISTINA


Counselor

1740653013/

N/A

GARNETT, DONNA YesCertified Substance Use Disorder

Counselor

1053836346/

N/A

GOMEZ, GREGORY

RAUL


Therapist

1205348968/

109071

GREENWALD,

MITCHELL


Disorder Counselor

1235756164/

N/A

HEBRON, SCOTT YesCertified Substance Use Disorder

Counselor

1477005825/

N/A

HESSLER,

CASSANDRA

PATRICIA


Counselor

1700446168/

N/A

HILL, RACHEL LYNN YesCertified Substance Use Disorder

Counselor

1750842274/

N/A

HOLCOMB, RALPH YesCertified Substance Use Disorder

Counselor

1689047003/

N/A

HUNTER, SCOTT

GERARD


Disorder Counselor

1811533383/

N/A

LANG, JOSHUA

MATTHEW


Disorder Counselor

1134709777/

N/A

LOERA, JOE NoRegistered Substance Use

Disorder Counselor

1093388332/

N/A

MCCOY, TINA NoRegistered Substance Use

Disorder Counselor

1285274191/

N/A


20A3971

SANTUCCI, SOPHIA NoRegistered Substance Use

Disorder Counselor

1497389852/

N/A

SCOTT,

CHRISTOPHER

ALLEN


Disorder Counselor

1386212686/

N/A

SILER, LORI B. YesRegistered Substance Use

Disorder Counselor

1437628757/

N/A

STOLTZ, CELIA L YesLicensed Clinical Psychologist 1114912318/

94023901

Provider Name: Soroptimist House of Hope #1

13525 Cielo Azul Way, Desert Hot Springs, CA 92240 ph:760-329-4673 fax: 760-329-7311

Page 26 of 61

RUHS-BH-Substance Abuse Prevention Treatment Currently accepting new referrals: Yes




Specialties: Adults Only, Bereavement/Grief Counseling, Case Management, Certified Alcohol Counselor, Clinical Therapist, Family Therapy, Female Issues, Gender

Identity Issues, Group Therapy, HIV/AIDS Counseling, Individual Therapy, Internist, Stress Management, Substance Abuse, Trauma Informed, Women With Children

Culture: Unknown, Not Hispanic, Mexican/Mexican American, Cuban, Puerto Rican, Other Hispanic/Latino

Race: American Indian, Black/African-American, Hawaiian, Hispanic/Latino, Samoan, White, Multiracial


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

AMADOR, CYNTHIA YesRegistered Substance Use

Disorder Counselor

1821519653/

N/A

BELTRAN, KIRBIE YesRegistered Substance Use

Disorder Counselor

1194344176/

N/A


PA53971

HANDWERK, CINDI YesCertified Substance Use Disorder

Counselor

1619325040/

C24901214

NORTON,

REBECCA


Counselor

1588855076/

A022590316

PROVO, ARLA YesCertified Substance Use Disorder

Counselor

1770182917/

N/A

RIVAS, CHRISTINE YesRegistered Substance Use

Disorder Counselor

1124643416/

N/A


20A3971

STOCKHAM,

JACLYN


Counselor

1700248655/

N/A

STONEBURNER,

LUPE


Counselor

1275980898/

N/A

Provider Name: VARP INC. Metcalf Recovery Ranch

9825 18th Ave., Blythe, CA 92225 ph:760-922-8625





Page 27 of 61

RUHS-BH-Substance Abuse Prevention Treatment Specialties: Adults Only, Case Management, Group Therapy, Individual Therapy, Substance Abuse


Race: Alaskan Native, American Indian, Asian Native, Black/African-American, Cambodian, Chinese, Filipino, Guamanian, Hawaiian, Japanese, Korean, Laotian,

Hispanic/Latino, Samoan, Vietnamese, White, Multiracial, Other Asian, Other Race


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1134543804/

N/A

ALVAREZ,

MERCELLA MARIE


Counselor

1275903304/

Aii00120219

CARRUTHERS,

ROBERT


Disorder Counselor

1851620348/

N/A

CASTILLO, SUSANA YesCertified Substance Use Disorder

Counselor

1912377763/

N/A

CLUETT, JOSEPH YesCertified Substance Use Disorder

Counselor

1770939720/

N/A

COLLINS, KENNETH YesRegistered Substance Use

Disorder Counselor

1366812414/

N/A

DAHLSTROM, CARL

ANDREW


Counselor

1316484819/

N/A

DISHAW, SEAN YesCertified Substance Use Disorder

Counselor

1467876110/

N/A

GONZALEZ,

ANASTACIA

MELISSA


Counselor

1164892220/

167524II

CATCII

HERNANDEZ,

DAVID


Disorder Counselor

1184294589/

N/A

HIXSON, TERESA YesCertified Substance Use Disorder

Counselor

1215475611/

N/A

HYNES, JOHN YesLicensed Marriage and Family

Therapist

1487063673/

LMFT 100528

JOHNSON, ROBERT YesCertified Substance Use Disorder

Counselor

1730537523/

N/A

LEWIS-RICHARDS,

JADE K


Therapist

1689143711/

AMFT 124356

LINARES, ADRIAN YesCertified Substance Use Disorder

Counselor

1942624697/

N/A

MARRUFO, TINA YesCertified Substance Use Disorder

Counselor

1265952394/

N/A

MARTINEZ, SHIELA

RENEE


Disorder Counselor

1518537596/

N/A

MERA, COURTNEY

ELISE


Therapist

1639721467/

113158

MUNOZ, VERONICA

MERCEDES


Disorder Counselor

1881163012/

N/A

TAVOLAZZI, TED YesCertified Substance Use Disorder

Counselor

1285058933/

N/A

WENTWORTH,

KATHERINE


Counselor

1164965760/

N/A

Mid County


Contract

Provider Name: MFI Hemet Outpatient

Page 28 of 61

RUHS-BH-Substance Abuse Prevention Treatment 950 S State Street D & E, Hemet, CA 92543 ph:951-683-6596 fax: 951-351-1554





Specialties: Certified Alcohol Counselor, Family Therapy, Individual Therapy, Medication Assisted Treatment (MAT), MH Counselor, Psychiatrist, School Issues,

Substance Abuse, Trauma Informed, Youth Treatment


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

Page 29 of 61

RUHS-BH-Substance Abuse Prevention Treatment TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: MFI Murrieta Outpatient

24885 Whitewood Road 105, Murrieta, CA 92562 ph:951-683-6596 fax: 951-351-1554




Languages: English, Other Interpretation Services

Specialties: Individual Therapy, Medication Assisted Treatment (MAT), MH Counselor, Substance Abuse, Trauma Informed


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

Page 30 of 61

RUHS-BH-Substance Abuse Prevention Treatment MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A

NAVARRO, ANA L YesCertified Substance Use Disorder

Counselor

1053949149/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: PES-ebs

2060 Chicago Avenue A-9, Riverside, CA 92507 ph:951-405-8177 fax: 530-888-9065




Languages: English, Hebrew, Spanish

Specialties: Adults Only, Case Management, Certified Alcohol Counselor, Depression, Group Therapy, Individual Therapy, Mental Health Counseling, MH Counselor,


Culture: Not Hispanic, Mexican/Mexican American, Puerto Rican, Other Hispanic/Latino

Race: Black/African-American, Korean, Hispanic/Latino, Vietnamese, White, Multiracial, Other Race


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BENSON, CELESTE YesCertified Substance Use Disorder

Counselor

1730430331/

N/A

DELAFOSSE,

GERALDINE


Disorder Counselor

1003418203/

N/A

DIAZ, DANIEL RAUL YesRegistered Substance Use

Disorder Counselor

1700465507/

N/A

HALPERN, NETTA YesLicensed Marriage and Family

Therapist

1184052011/

90532

MARTIN, DEBORA YesCertified Substance Use Disorder

Counselor

1972720001/

N/A

ROCHA-RIVERA,

GIOVANNA JAZMIN




1396270252/

96004

Page 31 of 61


Provider Name: San Jacinto SAPT

1370 South State Street A, San Jacinto, CA 92583 ph:951-791-3350 fax: 951-791-3353







Race: American Indian, Asian Native, Black/African-American, Filipino, Hispanic/Latino, Samoan, White, Multiracial, Other Asian, Other Race


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

AVILA, BRENDA YesPeer Support Specialist 1366968349/

N/A

BARRETT, BETH YesCertified Substance Use Disorder

Counselor

1508270471/

Aii055020418

CARRILLO, DANIEL YesCertified Substance Use Disorder

Counselor

1679961825/

N/A

CARRILLO,

LAWRENCE


Counselor

1306156070/

I3410112

COLEMAN, TAMEKA

LASHAUN


Therapist

1245680727/

98969

DEVRIES, PETER YesCertified Substance Use Disorder

Counselor

1255570982/

N/A

DUFFY, KRISTEN

DONNET


R1244750217

ELKINS, LISA DAWN YesPeer Support Specialist 1487278131/

N/A

FREDERICKS,

MELINDA


Counselor

1366866311/

Ci06930217

GOMEZ, HEIDI YesCertified Substance Use Disorder

Counselor

1912346818/

N/A

GREEN, JASON YesCertified Substance Use Disorder

Counselor

1215358999/

N/A

HAINJE, CAROLYN YesCertified Substance Use Disorder

Counselor

1275923385/

N/A

KETCHUM,

ROBERT


Counselor

1487025136/

N/A

KUALAGILBERT,

KEHAU


LCSW 73355

LEONARD, HELENE YesCertified Substance Use Disorder

Counselor

1225615271/

RW8584

MCGREW,

ERNESTINA

ELIZABETH


693114

MCMILLAN,

CHRISTINE


Counselor

1164696704/

N/A




1821645599/

ASW86285

Page 32 of 61

RUHS-BH-Substance Abuse Prevention Treatment PHAM-MARTINEZ,

DIANA H


N/A

QUIROZ,

FERNANDO


Counselor

1164829586/

N/A

RAYFIELD, ROSE YesCertified Substance Use Disorder

Counselor

1215326806/

N/A


N/A


Contract

Provider Name: Evexia Health Services - Hemet

601 E. Florida Ave, Hemet, CA 92543 ph:951-391-1470 fax: 951-391-1467




Languages: English



Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ANDERSON, DEYLA NoCertified Substance Use Disorder

Counselor

1588120299/

N/A

ARROYO, PAULO C YesRegistered Substance Use

Disorder Counselor

1972268514/

N/A

BARKER, RYAN

THOMAS


Counselor

1588215842/

N/A

BEDLINGTON,

RICHARD


Counselor

1417214818/

N/A

BESTER, PAULA YesCertified Substance Use Disorder

Counselor

1417140237/

N/A

DAWSON, VANEDA

LEANZA


Counselor

1114244399/

N/A

DELAROSA,

SERGIO OMAR


Counselor

1417206152/

N/A

DENA, SAMANTHA YesRegistered Nurse 1790375053/

267168

EASTERLING, CARL

ROYER


Counselor

1508004581/

N/A

GARCIA, GRACE YesRegistered Nurse 1003463613/

701487

GOMEZ, NICHOLAS

PAUL


Disorder Counselor

1861051765/

N/A

KATUKOTA, VIJAYA YesPhysician 1225218522/

A38220

MCBRIDE,

VICTORIA

ELIZABETH


Counselor

1114385622/

N/A

MIMS, JASMINE YesRegistered Substance Use

Disorder Counselor

1205425782/

N/A

Page 33 of 61

RUHS-BH-Substance Abuse Prevention Treatment MORRISON,

MICHELLE

NoRegistered Nurse 1134764541/

707080

ONTIVEROS,

MICHAEL

ALEXANDER


699287

OYHENART,

CHARLINE MARIE


241946

PANADO, STACY YesRegistered Nurse 1548896137/

267834

RISTA, ANDREA YesRegistered Nurse 1275102436/

718828

SOSA, EVELYN YesRegistered Substance Use

Disorder Counselor

1740335330/

N/A

VASQUEZ-FIGURES

, CRYSTAL


280588

VILLALOBOS,

JESSICA RUBY


690702

ZAHARAKIS,

TOMMY


A95900


Contract

Provider Name: MFI Hemet Outpatient

950 S State Street D & E, Hemet, CA 92543 ph:951-683-6596 fax: 951-351-1554





Specialties: Certified Alcohol Counselor, Family Therapy, Individual Therapy, Medication Assisted Treatment (MAT), MH Counselor, Psychiatrist, School Issues,

Substance Abuse, Trauma Informed, Youth Treatment


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

Page 34 of 61

RUHS-BH-Substance Abuse Prevention Treatment BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: MFI Murrieta Outpatient

24885 Whitewood Road 105, Murrieta, CA 92562 ph:951-683-6596 fax: 951-351-1554




Languages: English, Other Interpretation Services

Specialties: Individual Therapy, Medication Assisted Treatment (MAT), MH Counselor, Substance Abuse, Trauma Informed


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A

Page 35 of 61

RUHS-BH-Substance Abuse Prevention Treatment BADER, THERESA YesLicensed Eligible Practitioners




Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Counselor

1053949149/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: PES-ebs

2060 Chicago Avenue A-9, Riverside, CA 92507 ph:951-405-8177 fax: 530-888-9065




Languages: English, Hebrew, Spanish

Page 36 of 61

RUHS-BH-Substance Abuse Prevention Treatment Specialties: Adults Only, Case Management, Certified Alcohol Counselor, Depression, Group Therapy, Individual Therapy, Mental Health Counseling, MH Counselor,


Culture: Not Hispanic, Mexican/Mexican American, Puerto Rican, Other Hispanic/Latino

Race: Black/African-American, Korean, Hispanic/Latino, Vietnamese, White, Multiracial, Other Race


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BENSON, CELESTE YesCertified Substance Use Disorder

Counselor

1730430331/

N/A

DELAFOSSE,

GERALDINE


Disorder Counselor

1003418203/

N/A

DIAZ, DANIEL RAUL YesRegistered Substance Use

Disorder Counselor

1700465507/

N/A

HALPERN, NETTA YesLicensed Marriage and Family

Therapist

1184052011/

90532

MARTIN, DEBORA YesCertified Substance Use Disorder

Counselor

1972720001/

N/A

ROCHA-RIVERA,

GIOVANNA JAZMIN




1396270252/

96004

Provider Name: San Jacinto SAPT

1370 South State Street A, San Jacinto, CA 92583 ph:951-791-3350 fax: 951-791-3353







Race: American Indian, Asian Native, Black/African-American, Filipino, Hispanic/Latino, Samoan, White, Multiracial, Other Asian, Other Race


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

Page 37 of 61

RUHS-BH-Substance Abuse Prevention Treatment AVILA, BRENDA YesPeer Support Specialist 1366968349/

N/A

BARRETT, BETH YesCertified Substance Use Disorder

Counselor

1508270471/

Aii055020418

CARRILLO, DANIEL YesCertified Substance Use Disorder

Counselor

1679961825/

N/A

CARRILLO,

LAWRENCE


Counselor

1306156070/

I3410112

COLEMAN, TAMEKA

LASHAUN


Therapist

1245680727/

98969

DEVRIES, PETER YesCertified Substance Use Disorder

Counselor

1255570982/

N/A

DUFFY, KRISTEN

DONNET


R1244750217

ELKINS, LISA DAWN YesPeer Support Specialist 1487278131/

N/A

FREDERICKS,

MELINDA


Counselor

1366866311/

Ci06930217

GOMEZ, HEIDI YesCertified Substance Use Disorder

Counselor

1912346818/

N/A


Counselor

1215358999/

N/A

HAINJE, CAROLYN YesCertified Substance Use Disorder

Counselor

1275923385/

N/A

KETCHUM,

ROBERT


Counselor

1487025136/

N/A

KUALAGILBERT,

KEHAU


LCSW 73355

LEONARD, HELENE YesCertified Substance Use Disorder

Counselor

1225615271/

RW8584

MCGREW,

ERNESTINA

ELIZABETH


693114

MCMILLAN,

CHRISTINE


Counselor

1164696704/

N/A




1821645599/

ASW86285

PHAM-MARTINEZ,

DIANA H


N/A

QUIROZ,

FERNANDO


Counselor

1164829586/

N/A


Counselor

1215326806/

N/A


N/A

Provider Name: Lake Elsinore SAPT

31760 Casino Drive 200, Lake Elsinore, CA 92530 ph:951-471-4649





Specialties: Anxiety Disorder, Anxiety, Case Management, Certified Alcohol Counselor, Chronically Homeless/Disabled, Clinical Therapist, Couples/Marriage Therapy,

Depression, Family Therapy, Female Issues, Group Therapy, Individual Therapy, Male Issues, Medication Assisted Treatment (MAT), Medication Services, Men With

Children, Mental Health Counseling, MH Counselor, Mood Disorders, Obsessive-Compulsive Behaviors, Peer Support, Problem Gambling, PTSD, Substance Abuse,

Youth Treatment

Culture: Not Hispanic, Mexican/Mexican American

Page 38 of 61

RUHS-BH-Substance Abuse Prevention Treatment Race: Black/African-American, Hispanic/Latino, White


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

CASTILLO, DIANA YesCertified Substance Use Disorder

Counselor

1356614010/

N/A

DAILEY, BILL YesRegistered Substance Use

Disorder Counselor

1043854060/

N/A

DONAHOE,

KIMBERLY


Counselor

1619010659/

N/A

DUFFY, KRISTEN

DONNET


R1244750217


A81486

KUALAGILBERT,

KEHAU


LCSW 73355

MCGREW,

ERNESTINA

ELIZABETH


693114

RYAN, RACHAEL

DIANE


Counselor

1265915821/

N/A


N/A

WEBSTER,

STEPHANIE SHANE


Disorder Counselor

1871822023/

N/A

Provider Name: Temecula Day Reporting Center- Substance Use

41002 County Center Drive A, Temecula, CA 92591 ph:999-999-9999




Languages: English

Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

DUFFY, KRISTEN

DONNET


R1244750217

LEICHT, ANNIE NoRegistered Substance Use

Disorder Counselor

1679807671/

CADCII

A09390315




1871842385/

640640

MURILLO, SAMUEL YesPeer Support Specialist 1023584737/

N/A

Page 39 of 61

RUHS-BH-Substance Abuse Prevention Treatment REYNOSA, IRENE YesLicensed Eligible Practitioners



1437772316/

107369

Residential

Contract

Provider Name: MFI LA VISTA BLDG A

2220 GIRARD STREET BLDG A, SAN JACINTO, CA 92583 ph:951-683-6596 fax: 951-351-1554





Specialties: Case Management, Certified Alcohol Counselor, Clinical Therapist, Group Therapy, Individual Therapy, Medication Assisted Treatment (MAT), Mental

Health Counseling, Psychiatrist, Substance Abuse


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A

ARLINGTON, DANA YesRegistered Substance Use

Disorder Counselor

1417457151/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

Page 40 of 61

RUHS-BH-Substance Abuse Prevention Treatment HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: MFI La Vista - Bldg B

2220 Girard Street Bldg B, San Jacinto, CA 92583 ph:951-683-6596 fax: 951-351-1554





Specialties: Case Management, Certified Alcohol Counselor, Clinical Therapist, Family Therapy, Group Therapy, Individual Therapy, Medication Assisted Treatment

(MAT), MH Counselor, Psychiatrist, Social Worker


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A


Disorder Counselor

1417457151/

N/A

Page 41 of 61

RUHS-BH-Substance Abuse Prevention Treatment BADER, THERESA YesLicensed Eligible Practitioners




Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

HANNAH, ERIN YesRegistered Substance Use

Disorder Counselor

1457898454/

N/A

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: MFI La Vista Midway

294 E Midway Street, San Jacinto, CA 92583 ph:951-683-6596 fax: 951-351-1554



Page 42 of 61

RUHS-BH-Substance Abuse Prevention Treatment Distance to closest public transportation: Between .25-.5 miles



(MAT), MH Counselor, Psychiatrist, Social Worker


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Disorder Counselor

1417457151/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A


G79406

Provider Name: VARP INC. Gibson House For Men

Page 43 of 61

RUHS-BH-Substance Abuse Prevention Treatment 1100 N. "D" St., San Bernardino, CA 92410 ph:909-884-0840




Languages: English

Specialties: Adults Only, Case Management, Group Therapy, Individual Therapy, Substance Abuse





Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1134543804/

N/A

ALVAREZ,

MERCELLA MARIE


Counselor

1275903304/

Aii00120219

BUSTAMANTE,

EDWARD


Disorder Counselor

1720751068/

N/A

CARRION, STEVEN YesRegistered Substance Use

Disorder Counselor

1962035071/

N/A

CARRUTHERS,

ROBERT


Disorder Counselor

1851620348/

N/A


Counselor

1912377763/

N/A


Counselor

1770939720/

N/A

COLLINS, KENNETH YesRegistered Substance Use

Disorder Counselor

1366812414/

N/A

DAHLSTROM, CARL

ANDREW


Counselor

1316484819/

N/A

DANIELS, LILLIE YesRegistered Substance Use

Disorder Counselor

1972160935/

N/A


Counselor

1467876110/

N/A

ESTRADA,

CHRISTIAN


Counselor

1457944423/

N/A

GOMEZ, MANUEL YesRegistered Substance Use

Disorder Counselor

1336783422/

N/A

GONZALEZ,

ANASTACIA

MELISSA


Counselor

1164892220/

167524II

CATCII

GRIMES, WILL YesCertified Substance Use Disorder

Counselor

1922301571/

N/A


Counselor

1215475611/

N/A


Therapist

1487063673/

LMFT 100528


Counselor

1730537523/

N/A

LEWIS-RICHARDS,

JADE K


Therapist

1689143711/

AMFT 124356


Counselor

1942624697/

N/A

LUNA, FELIX YesRegistered Substance Use

Disorder Counselor

1134886260/

N/A


Counselor

1265952394/

N/A

Page 44 of 61

RUHS-BH-Substance Abuse Prevention Treatment MELENDEZ,

JOHNNY ANGEL


Disorder Counselor

1871128843/

N/A

MERA, COURTNEY

ELISE


Therapist

1639721467/

113158

MILLER, KATHLEEN YesRegistered Substance Use

Disorder Counselor

1215563739/

N/A


Disorder Counselor

1093217358/

N/A

RUIZ, EDUARDO YesRegistered Substance Use

Disorder Counselor

1114573953/

N/A

SANROMAN,

VICTOR


16303

SMITH, MICHAEL R YesRegistered Substance Use

Disorder Counselor

1982163473/

N/A

SWORD, JAMES YesCertified Substance Use Disorder

Counselor

1871265496/

N/A


Counselor

1285058933/

N/A

TAYLOR, RYAN YesRegistered Substance Use

Disorder Counselor

1952068009/

N/A

WENTWORTH,

KATHERINE


Counselor

1164965760/

N/A

Provider Name: VARP INC. Gibson House for Women

1135 N. "D" St., San Bernardino, CA 92410 ph:909-888-6956




Languages: English

Specialties: Adults Only, Case Management, Individual Therapy, Substance Abuse





Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1134543804/

N/A

ALVAREZ,

MERCELLA MARIE


Counselor

1275903304/

Aii00120219

ARAGON, JESSICA

LORENE


Counselor

1063070134/

N/A

CARRUTHERS,

ROBERT


Disorder Counselor

1851620348/

N/A


Counselor

1912377763/

N/A


Counselor

1770939720/

N/A

Page 45 of 61

RUHS-BH-Substance Abuse Prevention Treatment COLLINS, KENNETH YesRegistered Substance Use

Disorder Counselor

1366812414/

N/A

CRUZ, ZORAYA YesRegistered Substance Use

Disorder Counselor

1932757408/

N/A

DAHLSTROM, CARL

ANDREW


Counselor

1316484819/

N/A

DEWEY, DANIELLE YesRegistered Substance Use

Disorder Counselor

1386314227/

N/A


Counselor

1467876110/

N/A

GONZALEZ,

ANASTACIA

MELISSA


Counselor

1164892220/

167524II

CATCII


Counselor

1215475611/

N/A


Therapist

1487063673/

LMFT 100528


Counselor

1730537523/

N/A

LEMELIN, CYNTHIA

LU


Counselor

1760806962/

N/A

LEWIS-RICHARDS,

JADE K


Therapist

1689143711/

AMFT 124356

LILLY, MELISSA YesRegistered Substance Use

Disorder Counselor

1881255735/

N/A


Counselor

1942624697/

N/A


Counselor

1265952394/

N/A

MARTINEZ, DIANE

MARIE


Counselor

1174129845/

N/A

MERA, COURTNEY

ELISE


Therapist

1639721467/

113158

QUIDOR, ANGELA

KIM


Counselor

1790245918/

N/A

SANROMAN,

VICTOR


16303


Counselor

1285058933/

N/A

WENTWORTH,

KATHERINE


Counselor

1164965760/

N/A

Out of County

Residential

Contract

Provider Name: CEDAR HOUSE LIFE CHANGE CENTER

18612 SANTA ANA AVE, BLOOMINGTON, CA 92316 ph:909-421-7120 fax: 909-421-7128





Specialties:

Page 46 of 61

RUHS-BH-Substance Abuse Prevention Treatment Population: Transitional Aged 18 - 20, Adults 21 and over

Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ACEVES, KARINA M NoRegistered Substance Use

Disorder Counselor

1346875093/

N/A

COONEY, DEIRDRE YesCertified Substance Use Disorder

Counselor

1760987820/

N/A

GRIMES, WILL YesCertified Substance Use Disorder

Counselor

1922301571/

N/A

PINK, LISA MARIE YesCertified Substance Use Disorder

Counselor

1386988137/

N/A

QUIROZ,

FERNANDO


Counselor

1164829586/

N/A

RODAS, MAYRA YesRegistered Substance Use

Disorder Counselor

1558830687/

N/A


G79406

Provider Name: MAPLE HOUSE

10888 MAPLE AVE, BLOOMINGTON, CA 92316 ph:909-421-7120 fax: 909-421-7128





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

RODAS, MAYRA YesRegistered Substance Use

Disorder Counselor

1558830687/

N/A

Provider Name: Inland Valley Recovery Services

1260 E. Arrow HWY E, Upland, CA 91786 ph:909-932-1069 fax: 909-932-1087


Page 47 of 61

RUHS-BH-Substance Abuse Prevention Treatment ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: No



Specialties: Adults Only, Case Management, Certified Alcohol Counselor, Couples/Marriage Therapy, Gender Specific Treatment, Group Therapy, HIV/AIDS

Counseling, Individual Therapy, LGBTQ Counseling, Male Issues, Medication Assisted Treatment (MAT), Men With Children, MH Counselor, Peer Support, Sign

Language, Substance Abuse, Trauma Informed, Women With Children


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ABEYTA, CYNTHIA YesRegistered Substance Use

Disorder Counselor, Certified


Counselor

1154516250/

N/A

ARELLANO, IDANIA YesLicensed Marriage and Family

Therapist

1114576824/

115052

BARNES, JESSICA YesCertified Substance Use Disorder

Counselor

1568920858/

N/A

BARNETT, STACEY YesCertified Substance Use Disorder

Counselor

1033657721/

N/A

BARRON, YVONNE

CAROLYN


Counselor

1154551687/

N/A

CARTER, KEVIN

BRIAN


Counselor

1780150433/

N/A

CHAVEZ, SANDRA YesCertified Substance Use Disorder

Counselor

1619534096/

N/A

CLIGNETT, INGRID

JACQUELINE


Counselor

1205284270/

N/A

DAUWALDER,

TIMOTHY

YesPhysician 1942379987/

20A7875

DEGRANDE,

JANICE KAY


Counselor

1245387687/

N/A

GUILLEAUME,

ELIZABETH ANN


Counselor

1043750375/

N/A

HERNANDEZ,

TRASK ROBERT


Counselor

1336799493/

N/A

ORTIZ, JESSICA YesCertified Substance Use Disorder

Counselor

1780058214/

N/A

PIMIENTA, DEBRA YesCertified Substance Use Disorder

Counselor

1124618368/

N/A

REID, ROBERTA YesLicensed Marriage and Family

Therapist

1710017165/

43223

SHAW, CARINA YesCertified Substance Use Disorder

Counselor

1013260173/

N/A

TOBLER, NADINE YesCertified Substance Use Disorder

Counselor

1538525365/

N/A

VALDEZ, OSCAR YesLicensed Marriage and Family

Therapist

1194126763/

108587

WHITTEY,

SHARLENE


Counselor

1740568575/

N/A

WOODWARD,

KRISTY


Counselor

1093485666/

N/A

Western


Contract

Page 48 of 61


Provider Name: MFI Riverside Outpatient

5870 Arlington Avenue, Riverside, CA 92504 ph:951-683-6596 fax: 951-351-1554




Languages: American Sign Language (ASL), English, Other Interpretation Services, Spanish, Tagalog


(MAT), Mental Health Counseling, MH Counselor, Other, Play Therapy, Psychiatrist, Registered Nurse, School Issues, Social Worker, Substance Abuse, Trauma

Informed, Youth Treatment


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525


Disorder Counselor

1457898454/

N/A

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

Page 49 of 61

RUHS-BH-Substance Abuse Prevention Treatment MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Counselor

1053949149/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: Corona Wellness and Recovery Center- SAPT

2813 South Main Street 2nd Floor, Corona, CA 92882 ph:951-737-2962 fax: 951-737-2783




Languages: English, Spanish, Tagalog

Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BLACK, AMY

CATHERINE


N/A

DUFFY, KRISTEN

DONNET


R1244750217

FLORES, ROSIE

THERESA


Disorder Counselor

1841656428/

N/A


Counselor

1215358999/

N/A

GUALA, MICHELLE

RENEE


Counselor

1326489386/

N/A

LACSON,

GIRLYANNE BATAC

NoLicensed Clinical Social Worker 1407007800/

LCSW71143

MCGREW,

ERNESTINA

ELIZABETH


693114

MCMILLAN,

CHRISTINE


Counselor

1164696704/

N/A

MOYA-RIVERS,

VERONICA


Counselor

1861524712/

N/A

QUIROZ,

FERNANDO


Counselor

1164829586/

N/A

Page 50 of 61

RUHS-BH-Substance Abuse Prevention Treatment RAYFIELD, ROSE YesCertified Substance Use Disorder

Counselor

1215326806/

N/A


N/A

Provider Name: Solid Ground Wellness in Recovery, LLC

6860 Brockton Avenue 9, Riverside, CA 92506 ph:951-224-9940 fax: 951-535-5931





Specialties: Certified Alcohol Counselor, Group Therapy, Individual Therapy, School Issues, Substance Abuse, Veterans For MH, Youth Treatment


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

CLARK, RODNEY YesRegistered Substance Use

Disorder Counselor

1932756970/

N/A

FOSTER, BRANDIE

LEIGH


Counselor

1821764002/

N/A

MESSINGER,

SANDRA


Disorder Counselor

1649398520/

N/A

MINER, GARY

ALLEN


Therapist

1760672125/

LMFT 93723

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Contract

Provider Name: Evexia Health Services - Corona

109 E. 11th Street, Corona, CA 92879 ph:951-427-3482 fax: 951-427-3489




Page 51 of 61

RUHS-BH-Substance Abuse Prevention Treatment Languages: English

Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ANDERSON, DEYLA NoCertified Substance Use Disorder

Counselor

1588120299/

N/A

ARROYO, PAULO C YesRegistered Substance Use

Disorder Counselor

1972268514/

N/A

BEDLINGTON,

RICHARD


Counselor

1417214818/

N/A

BESTER, PAULA YesCertified Substance Use Disorder

Counselor

1417140237/

N/A

DAWSON, VANEDA

LEANZA


Counselor

1114244399/

N/A

DELAROSA,

SERGIO OMAR


Counselor

1417206152/

N/A

DENA, SAMANTHA YesRegistered Nurse 1790375053/

267168

EASTERLING, CARL

ROYER


Counselor

1508004581/

N/A

GARCIA, GRACE YesRegistered Nurse 1003463613/

701487

GOMEZ, NICHOLAS

PAUL


Disorder Counselor

1861051765/

N/A

KATUKOTA, VIJAYA YesPhysician 1225218522/

A38220

MIMS, JASMINE YesRegistered Substance Use

Disorder Counselor

1205425782/

N/A

MORRISON,

MICHELLE

NoRegistered Nurse 1134764541/

707080

ONTIVEROS,

MICHAEL

ALEXANDER


699287

OYHENART,

CHARLINE MARIE


241946

PANADO, STACY YesRegistered Nurse 1548896137/

267834

RISTA, ANDREA YesRegistered Nurse 1275102436/

718828

SOSA, EVELYN YesRegistered Substance Use

Disorder Counselor

1740335330/

N/A

VASQUEZ-FIGURES

, CRYSTAL


280588

ZAHARAKIS,

TOMMY


A95900


Contract

Provider Name: MFI Riverside Outpatient

5870 Arlington Avenue, Riverside, CA 92504 ph:951-683-6596 fax: 951-351-1554



Page 52 of 61

RUHS-BH-Substance Abuse Prevention Treatment Distance to closest public transportation: Less than .25 miles

Languages: American Sign Language (ASL), English, Other Interpretation Services, Spanish, Tagalog


(MAT), Mental Health Counseling, MH Counselor, Other, Play Therapy, Psychiatrist, Registered Nurse, School Issues, Social Worker, Substance Abuse, Trauma

Informed, Youth Treatment


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525


Disorder Counselor

1457898454/

N/A

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Counselor

1053949149/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

Page 53 of 61

RUHS-BH-Substance Abuse Prevention Treatment WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: SAPT Care Coordination

3525 Presley Avenue, Riverside, CA 92507 ph:951-782-2400





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

ANGULO, MICHAEL NoRegistered Substance Use

Disorder Counselor

1659541910/

N/A

BASSO, LYNN NoCertified Substance Use Disorder

Counselor

1558683235/

N/A

CURRAN, JULIE NoCertified Substance Use Disorder

Counselor

1477739951/

N/A

DELEON, AUDRINA

ANDEE


Counselor

1528581253/

N/A

DELRIO,

ELIZABETH


Counselor

1962633172/

N/A

DUFFY, KRISTEN

DONNET


R1244750217

GODOY, LISA NoCertified Substance Use Disorder

Counselor

1770864936/

N/A


A81486

MANGOLD, SHELLY

E


Counselor

1578838165/

N/A

MARRONE, NICOLE

PATRICIA


Counselor

1750793105/

N/A

PARRY, SUZANNE NoCertified Substance Use Disorder

Counselor

1699072348/

N/A

PENROD, CARRIE NoRegistered Substance Use

Disorder Counselor

1639492275/

N/A

PINTADO, RAUL YesRegistered Substance Use

Disorder Counselor, Peer Support

Specialist

1679179949/

N/A

RAYNER, SEAN

WILLIAM


Counselor

1972160810/

N/A

ROBERTSON, LORI NoCertified Substance Use Disorder

Counselor

1629238662/

N/A

SANCHEZ,

ANGELINA FOXX


Counselor

1861682528/

N/A

SHIELDS, WENDY

MARIE


Counselor

1588834170/

N/A

STAGER, SARAH

MARIE


Counselor

1124573357/

N/A

STELLITANO,

JESSICA FAITH


Disorder Counselor

1487160784/

N/A

URIBE, REGINA

PAULINE


Counselor

1740470137/

N/A

Page 54 of 61

RUHS-BH-Substance Abuse Prevention Treatment VIELMA, JO-EL YesPeer Support Specialist 1699060020/

N/A

Provider Name: Corona Wellness and Recovery Center- SAPT

2813 South Main Street 2nd Floor, Corona, CA 92882 ph:951-737-2962 fax: 951-737-2783




Languages: English, Spanish, Tagalog

Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BLACK, AMY

CATHERINE


N/A

DUFFY, KRISTEN

DONNET


R1244750217

FLORES, ROSIE

THERESA


Disorder Counselor

1841656428/

N/A


Counselor

1215358999/

N/A

GUALA, MICHELLE

RENEE


Counselor

1326489386/

N/A

LACSON,

GIRLYANNE BATAC

NoLicensed Clinical Social Worker 1407007800/

LCSW71143

MCGREW,

ERNESTINA

ELIZABETH


693114

MCMILLAN,

CHRISTINE


Counselor

1164696704/

N/A

MOYA-RIVERS,

VERONICA


Counselor

1861524712/

N/A

QUIROZ,

FERNANDO


Counselor

1164829586/

N/A


Counselor

1215326806/

N/A


N/A

Provider Name: Riverside Day Reporting Center- Substance Use

1020 Iowa Avenue B, Riverside, CA 92507 ph:999-999-9999


Page 55 of 61

RUHS-BH-Substance Abuse Prevention Treatment ADA Compliant for Physical Plant: Yes TDD/TTY Equipment Available: Yes


Languages: English

Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

DUFFY, KRISTEN

DONNET


R1244750217

LEICHT, ANNIE NoRegistered Substance Use

Disorder Counselor

1679807671/

CADCII

A09390315




1871842385/

640640

MARISA, CHARLES YesLicensed Eligible Practitioners



1821292459/

9999999

MCGREW,

ERNESTINA

ELIZABETH


693114

REYNOSA, IRENE YesLicensed Eligible Practitioners



1437772316/

107369

Provider Name: Solid Ground Wellness in Recovery, LLC

6860 Brockton Avenue 9, Riverside, CA 92506 ph:951-224-9940 fax: 951-535-5931





Specialties: Certified Alcohol Counselor, Group Therapy, Individual Therapy, School Issues, Substance Abuse, Veterans For MH, Youth Treatment


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

CLARK, RODNEY YesRegistered Substance Use

Disorder Counselor

1932756970/

N/A

FOSTER, BRANDIE

LEIGH


Counselor

1821764002/

N/A

Page 56 of 61

RUHS-BH-Substance Abuse Prevention Treatment MESSINGER,

SANDRA


Disorder Counselor

1649398520/

N/A

MINER, GARY

ALLEN


Therapist

1760672125/

LMFT 93723

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A

Residential

Contract

Provider Name: MFI Woodcrest

17270 Roosevelt Street, Riverside, CA 92508 ph:951-683-6596





Specialties: Case Management, Certified Alcohol Counselor, Clinical Therapist, Family Therapy, Group Therapy, Individual Therapy, Male Issues, Medication Assisted

Treatment (MAT), Medication Services, Mental Health Counseling, MH Counselor, Psychiatrist, Registered Nurse, School Issues, Social Worker, Substance Abuse


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

Page 57 of 61

RUHS-BH-Substance Abuse Prevention Treatment KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468

SANROMAN,

VICTOR


16303


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WALCOTT, LANCE

WAYNE


Disorder Counselor

1942890470/

N/A

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: MFI A Women's Place - AWP

4295 Brockton Avenue, Riverside, CA 92501 ph:951-683-6596 fax: 951-351-1554





Specialties: Bereavement/Grief Counseling, Case Management, Clinical Therapist, Family Therapy, Group Therapy, Individual Therapy, Medication Assisted Treatment

(MAT), Mental Health Counseling, MH Counselor, Psychiatrist, Substance Abuse, Women With Children


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#


Counselor

1902080039/

N/A





Counselor

1972933893/

AMFT89960

Page 58 of 61

RUHS-BH-Substance Abuse Prevention Treatment BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARKER, RYAN

THOMAS


Counselor

1588215842/

N/A

BARTH,

CASSSANDRA




1467644526/

IMF99051

BLACK, LISABETH

EVE


Disorder Counselor

1205339561/

N/A


A48057

DREY-CAMPBELL,

ELIZABETH


Disorder Counselor

1275911919/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A




1194350439/

7525


Disorder Counselor

1457898454/

N/A

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LAFONTAINE,

TAMARA


Therapist

1376843672/

LMFT81538

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618


Counselor

1972805489/

N/A

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A

MOLINA, LISA

MARIE


Counselor

1093902314/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1023653953/

N/A


Disorder Counselor

1013440379/

N/A

RANKIN,

STEPHANIE JANE


Disorder Counselor

1679113328/

N/A

ROSSI, ALEASE

PATRICIA




1972988822/

APCC6468

SANROMAN,

VICTOR


16303


Counselor

1669951554/

N/A

TRIVINO-COOK,

JOSSYE


Counselor

1992997001/

N/A


G79406

WALCOTT, LANCE

WAYNE


Disorder Counselor

1942890470/

N/A

WHEELER,

TAMBRIA


Counselor

1376861674/

N/A

Provider Name: MFI MT Rubidoux

4440 University Ave, Riverside, CA 92501 ph:951-683-6596 fax: 951-351-1554




Page 59 of 61

RUHS-BH-Substance Abuse Prevention Treatment Languages: American Sign Language (ASL), Spanish

Specialties: Adults Only, Case Management, Certified Alcohol Counselor, Clinical Therapist, Group Therapy, Individual Therapy, Medication Assisted Treatment (MAT),

Peer Support, Psychiatrist, Registered Nurse, Social Worker, Substance Abuse


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

BANUELOS,

MARIBEL


Disorder Counselor

1497259535/

N/A

BARKER, RYAN

THOMAS


Counselor

1588215842/

N/A

DURO, SAMANTHA

ROSE


Disorder Counselor

1023526902/

N/A

HOWELL, ANDREA

CHARLENE




1962052563/

APCC6152

KORNBLUTH,

REBECCA




1760747265/

IMF78133

LOPEZ, MICHELLE

CHRISTINA


Counselor

1316281769/

Aii15900618

MILLER, JAMES

VERON III


Disorder Counselor

1760030043/

N/A


Disorder Counselor

1093217358/

N/A


Disorder Counselor

1013440379/

N/A


Counselor

1669951554/

N/A

WALCOTT, LANCE

WAYNE


Disorder Counselor

1942890470/

N/A

Provider Name: Palm Women's Program

4750 Palm Avenue, Riverside, CA 92501 ph:951-686-0021





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

Page 60 of 61

RUHS-BH-Substance Abuse Prevention Treatment BLACKSTONE,

BROOKLYN


Counselor

1871928309/

N/A

FOURNIER, REGINA YesCertified Substance Use Disorder

Counselor

1740590827/

N/A

Provider Name: Wilshire Women's Program

2452 and 2456 Wilshire St, Riverside, CA 92501 ph:686-682-6631





Specialties:


Cultural

Competence


Cultural

Competence


NPI/

License#

NPI/

License#

FOURNIER, REGINA YesCertified Substance Use Disorder

Counselor

1740590827/

N/A

Services may be delivered by an individual provider, or a team of providers, who is working under the direction of a licensed practitioner operating within their scope of

practice. Only licensed, waivered, or registered mental health providers and licensed substance use disorder services providers are listed on the Plan’s provider directory

Page 61 of 61

Documents

Substance Abuse Prevention and Treatment Programs