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Christopher J Lupien

Psychologist

Behavioral Health & Social Service Providers

8350 Archibald Ave Ste 110, Rancho Cucamonga, CA 91730-3670

PECOS Enrollment

Based on the most recent information from CMS, provider Christopher J Lupien does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1922668292
Provider Type
Individual
Full Name
Lupien, Christopher J
Gender
Male

Sole Proprietor
No
Enumeration Date
6/18/2019
Last Updated
1/31/2024

Contact Information

Practice Location

8350 Archibald Ave Ste 110, Rancho Cucamonga, CA 91730-3670

(909) 527-3463

Unlisted Fax

Mailing Location

8350 Archibald Ave Ste 110, Rancho Cucamonga, CA 91730-3670

(909) 527-3463

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSB94027441 California
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 114902 California

Christopher J Lupien

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Hudspeth, Nina Christine

Adhami, Sepideh

Gunn Psychological Services, Inc.

Lockhart-Pettaway, Stefanie

Swan Psychological Services, Inc.

Sunny Pschological Services Inc

Lupien, Charyeea Na'Chelle

Gunn, Timothy

Seffinger, Deborah

Glidden, Matthew C