Provider Demographics
NPI:1174829253
Name:LIMON, FRANK ROBERT (CADTP)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:ROBERT
Last Name:LIMON
Suffix:
Gender:M
Credentials:CADTP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 W 9TH ST UPLAND, CALIFORNIA 91786-5910
Mailing Address - Street 2:333 E ARROW HWY UNIT 220
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-7008
Mailing Address - Country:US
Mailing Address - Phone:909-476-2023
Mailing Address - Fax:909-476-2043
Practice Address - Street 1:215 W 9TH ST UPLAND, CALIFORNIA 91786-5910
Practice Address - Street 2:333 E ARROW HWY UNIT 220
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-7008
Practice Address - Country:US
Practice Address - Phone:909-476-2023
Practice Address - Fax:909-476-2043
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)