Individual provider · Type 1 NPI

Kevin Michael Eagleson

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

NPI number 1235048943 Active

Practice location

30 Joseph Ct
San Rafael, CA 94903-2664

Call (415) 785-4993 Map

Fax (415) 599-4362

Mailing address

211 Mission Dr
Petaluma, CA 94952-5281

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13635 (CA)

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

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About NPI 1235048943

Kevin Michael Eagleson's National Provider Identifier is 1235048943, issued on Sep 7, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Sep 7, 2026.