Individual ProviderChristopher J 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 Christopher J 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 34 days ago.Profile DetailsProvider ID1922668292Provider TypeIndividualFull NameLupien, Christopher JGenderMaleSole ProprietorNoEnumeration Date6/18/2019Last 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 ProvidersLicensePSB94027441CaliforniaCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense114902California