Individual ProviderCharyeea Na'Chelle LupienPsychologistBehavioral Health & Social Service ProvidersPractice Address8350 Archibald Ave Ste 110, Rancho Cucamonga, CA 91730-3670(909) 527-3463PECOS EnrollmentBased on the most recent information from CMS, provider Charyeea Na'Chelle Lupien does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1558828376Provider TypeIndividualFull NameLupien, Charyeea Na'ChelleGenderFemaleSole ProprietorNoEnumeration Date2/28/2019Last Updated1/31/2024Contact InformationPractice LocationPractice Address8350 Archibald Ave Ste 110, Rancho Cucamonga, CA 91730-3670Phone(909) 527-3463FaxUnlisted FaxMailing LocationMailing Address8350 Archibald Ave Ste 110, Rancho Cucamonga, CA 91730-3670Phone(909) 527-3463FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicensePSB94027442CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense114903California