Individual provider · Type 1 NPI
Jessica A. Pantoja, RAS
Addiction (Substance Use Disorder) Counselor · Palmdale, CA
NPI number
1124624663
Active
Practice location
320 E Palmdale Blvd
Palmdale, CA 93550-4598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1411541120 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124624663
Jessica A. Pantoja, RAS's National Provider Identifier is 1124624663, issued on Dec 9, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Palmdale, CA. The record was last updated on Dec 9, 2020.