Individual provider · Type 1 NPI

Jessica Dostis

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1093287450 Active

Practice location

714 N Anaheim Blvd
Anaheim, CA 92805-2692

Mailing address

25002 Reflejo
Mission Viejo, CA 92692-2723

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 1093287450

Jessica Dostis's National Provider Identifier is 1093287450, issued on Dec 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Dec 26, 2018.