Individual provider · Type 1 NPI

Jack Vincent Byrd

Addiction (Substance Use Disorder) Counselor · Oceanside, CA

NPI number 1811679152 Active

Practice location

3923 Waring Rd Ste D
Oceanside, CA 92056-4457

Call (760) 726-4451 Map

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1811679152

Jack Vincent Byrd's National Provider Identifier is 1811679152, issued on Aug 4, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oceanside, CA. The record was last updated on Aug 4, 2023.