Individual provider · Type 1 NPI
Justin Jarrell Sorg, RADT
Addiction (Substance Use Disorder) Counselor · Pacheco, CA
NPI number
1790475283
Active
Practice location
132 Damascus Dr
Pacheco, CA 94553-2611
Mailing address
1647 Willow Pass Rd # 313
Concord, CA 94520-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1790475283
Justin Jarrell Sorg, RADT's National Provider Identifier is 1790475283, issued on May 9, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pacheco, CA. The record was last updated on May 9, 2023.