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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A043471216 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Gridley
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.