Individual provider · Type 1 NPI
Jeffrey Scott Kist
Addiction (Substance Use Disorder) Counselor · Weaverville, CA
NPI number
1013269018
Active
Practice location
1540 Main St
Weaverville, CA 96093
Fax (530) 623-5830
Mailing address
PO Box 1640
Weaverville, CA 96093-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013269018
Jeffrey Scott Kist's National Provider Identifier is 1013269018, issued on Oct 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Weaverville, CA. The record was last updated on Oct 15, 2012.