Individual provider · Type 1 NPI

Jonathan Detrant, SUDRC II

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1023904596 Active

Practice location

930 Postal Way
Vista, CA 92083

Call (760) 630-9922 Map

Mailing address

993 Postal Way
Vista, CA 92083-6945

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21539 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023904596

Jonathan Detrant, SUDRC II's National Provider Identifier is 1023904596, issued on Jun 13, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Oct 2, 2026.