Individual provider · Type 1 NPI

Jeffrey Kent Niss, CCAPP C7801214

Addiction (Substance Use Disorder) Counselor · Vista, CA

NPI number 1508539669 Active

Practice location

733 S Santa Fe Ave
Vista, CA 92083-5939

Call (760) 945-5290 Map

Fax (760) 945-7765

Mailing address

2130 S Santa Fe Ave Apt 28
Vista, CA 92084-7853

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC7801214 (CA)

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

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About NPI 1508539669

Jeffrey Kent Niss, CCAPP C7801214's National Provider Identifier is 1508539669, issued on Jul 26, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vista, CA. The record was last updated on Jul 26, 2021.