Individual provider · Type 1 NPI

James Lincoln Dettman

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1114497559 Active

Practice location

1100 N D St
San Bernardino, CA 92410-3524

Call (909) 884-0840 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1293770318 (CA)

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

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About NPI 1114497559

James Lincoln Dettman's National Provider Identifier is 1114497559, issued on Nov 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on Nov 28, 2018.