Individual provider · Type 1 NPI

Jaqueline Mejia, CERTIFICATE

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1205959277 Active

Practice location

1430 Neotomas Ave
Santa Rosa, CA 95405-7575

Mailing address

1916 Genoa Pl
Santa Rosa, CA 95403-1892

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XAII055080418 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1205959277

Jaqueline Mejia, CERTIFICATE's National Provider Identifier is 1205959277, issued on Apr 6, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 15, 2024.