Provider Demographics
NPI:1942923164
Name:NUTRITION COUNSELING PLUS
Entity Type:Organization
Organization Name:NUTRITION COUNSELING PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:909-905-0509
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91785-0032
Mailing Address - Country:US
Mailing Address - Phone:909-905-0509
Mailing Address - Fax:
Practice Address - Street 1:170 C ST APT 3
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6063
Practice Address - Country:US
Practice Address - Phone:909-905-0509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty