Individual provider · Type 1 NPI

Jesse T. Collins

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

NPI number 1417352659 Active

Practice location

1901 Cleveland Ave, Suite B
Santa Rosa, CA 95401-4282

Call (707) 576-0818 Map

Fax (707) 576-7845

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5240-R (CA)

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

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About NPI 1417352659

Jesse T. Collins's National Provider Identifier is 1417352659, issued on Oct 30, 2014. 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 Oct 30, 2014.