Individual provider · Type 1 NPI

Jacquelyn Anette Van Buren, RADT

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1295568483 Active

Practice location

1234 Travis Blvd
Fairfield, CA 94533-4802

Call (707) 718-4872 Map

Mailing address

609 Jefferson St
Fairfield, CA 94533-6293

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1568820724 (CA)

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

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About NPI 1295568483

Jacquelyn Anette Van Buren, RADT's National Provider Identifier is 1295568483, issued on Aug 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Aug 22, 2024.