Individual provider · Type 1 NPI

Jessica R. Elack, RADT

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1053923193 Active

Practice location

730 Sunrise Avenue, Building 200, STE-201
Roseville, CA 95661

Call (916) 782-3737 Map

Other practice locations

  • 1530 3rd St Ste 111, Lincoln, CA 95648-2501 · (916) 884-0015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1402020820 (CA)

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

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About NPI 1053923193

Jessica R. Elack, RADT's National Provider Identifier is 1053923193, issued on Aug 19, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Aug 19, 2020.