Individual provider · Type 1 NPI

Jacob Roush

Addiction (Substance Use Disorder) Counselor · Camarillo, CA

NPI number 1063306272 Active

Practice location

592 Lantana St Apt 95
Camarillo, CA 93010-6158

Call (213) 332-1367 Map

Mailing address

22722 Soledad Canyon Rd
Santa Clarita, CA 91350-2629

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1063306272

Jacob Roush's National Provider Identifier is 1063306272, issued on Jun 4, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Camarillo, CA. The record was last updated on Jun 4, 2025.