Individual provider · Type 1 NPI

Jaman Robert Eley, SUDDC

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1639888530 Active

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Call (760) 487-3600 Map

Mailing address

9592 Peridot Ave
Hesperia, CA 92344-8099

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7078 (CA)
Licensed Vocational Nurse 164X00000X221796 (CA)

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

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About NPI 1639888530

Jaman Robert Eley, SUDDC's National Provider Identifier is 1639888530, issued on Nov 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Mar 11, 2026.