Individual provider · Type 1 NPI

Jamar Ephform

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

NPI number 1740002880 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Mailing address

376 W 15th St
San Pedro, CA 90731-4806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24968 (CA)

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

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About NPI 1740002880

Jamar Ephform's National Provider Identifier is 1740002880, issued on Oct 29, 2024. 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 Oct 29, 2024.