Individual provider · Type 1 NPI

Jaime Rivera Ceron Jr.

Addiction (Substance Use Disorder) Counselor · Blythe, CA

NPI number 1043019375 Active

Practice location

1297 W Hobsonway
Blythe, CA 92225-1423

Fax (760) 922-6717

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XR1603070325 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1603070325 (CA)

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

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About NPI 1043019375

Jaime Rivera Ceron Jr.'s National Provider Identifier is 1043019375, issued on Mar 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blythe, CA. The record was last updated on May 22, 2026.