Individual provider · Type 1 NPI

Jamie Maxwell

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1720867211 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Call (310) 519-8723 Map

Mailing address

2033 S Crescent Ave
San Pedro, CA 90731-5512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1526640923 (CA)

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

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About NPI 1720867211

Jamie Maxwell's National Provider Identifier is 1720867211, issued on Sep 25, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Sep 25, 2023.