Individual provider · Type 1 NPI

Jason Vernon Santibanez, CADC-II, ICADC, SAP

Addiction (Substance Use Disorder) Counselor · Gridley, CA

NPI number 1386111383 Active

Practice location

608 Kentucky St
Gridley, CA 95948-2118

Fax (530) 345-5514

Mailing address

1547 2nd Ave Apt 1
Oroville, CA 95965-4776

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA043471216 (CA)

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

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About NPI 1386111383

Jason Vernon Santibanez, CADC-II, ICADC, SAP's National Provider Identifier is 1386111383, issued on Oct 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gridley, CA. The record was last updated on Oct 28, 2018.