Individual provider · Type 1 NPI

Jacob Butler, SUDRC I

Addiction (Substance Use Disorder) Counselor · Clayton, CA

NPI number 1497676100 Active

Practice location

11540 Marsh Creek Rd
Clayton, CA 94517-9759

Mailing address

3019 Justin Way
Concord, CA 94520-1616

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X23177 (CA)

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

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About NPI 1497676100

Jacob Butler, SUDRC I's National Provider Identifier is 1497676100, issued on Jul 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clayton, CA. The record was last updated on Jul 21, 2026.