Individual provider · Type 1 NPI
Jennifer J. Waken
Addiction (Substance Use Disorder) Counselor · Napa, CA
NPI number
1124644109
Active
Practice location
2100 Napa Vallejo Hwy # 253
Napa, CA 94558-6234
Mailing address
2675 W Pueblo Ave
Napa, CA 94558-4347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1394660620 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1124644109
Jennifer J. Waken's National Provider Identifier is 1124644109, issued on Jun 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Napa, CA. The record was last updated on Jun 24, 2020.