Individual provider · Type 1 NPI

Eran Jax Barker, SUDRC 12517

Addiction (Substance Use Disorder) Counselor · Diamond Springs, CA

NPI number 1790276731 Active

Practice location

484 Main St
Diamond Springs, CA 95619-9100

Call (916) 502-6239 Map

Other practice locations

  • 484 Pleasant Valley Rd, Diamond Springs, CA 95619 · (916) 502-6239

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1255760617 (CA)

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

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About NPI 1790276731

Eran Jax Barker, SUDRC 12517's National Provider Identifier is 1790276731, issued on May 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Diamond Springs, CA. The record was last updated on Jun 17, 2022.