Individual provider · Type 1 NPI

Jason Lee Pimentel, RAC #15174

Addiction (Substance Use Disorder) Counselor · Crescent City, CA

NPI number 1144979360 Active

Practice location

455 K St
Crescent City, CA 95531-4107

Call (707) 464-7224 Map

Fax (707) 465-4272

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRAC15174 (CA)

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

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About NPI 1144979360

Jason Lee Pimentel, RAC #15174's National Provider Identifier is 1144979360, issued on Mar 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Crescent City, CA. The record was last updated on Mar 23, 2022.