Individual provider · Type 1 NPI

Jay Evan Antes

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

NPI number 1194452987 Active

Practice location

4141 Pacific Hwy
San Diego, CA 92110-2030

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 1194452987

Jay Evan Antes's National Provider Identifier is 1194452987, issued on Aug 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Aug 2, 2022.