Individual provider · Type 1 NPI

Mitchell Dale Jankowski, R1381900320

Addiction (Substance Use Disorder) Counselor · Placerville, CA

NPI number 1194483131 Active

Practice location

2844 Coloma St
Placerville, CA 95667-4406

Call (530) 626-9240 Map

Fax (530) 642-2064

Mailing address

PO Box 1666
Placerville, CA 95667-1666

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 1194483131

Mitchell Dale Jankowski, R1381900320's National Provider Identifier is 1194483131, issued on Dec 7, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on Dec 7, 2021.