Individual provider · Type 1 NPI
Jaclyn Mahoney
Addiction (Substance Use Disorder) Counselor · Santa Maria, CA
NPI number
1811824675
Active
Practice location
412 E. Tunnel St.
Santa Maria, CA 93454
Fax (866) 594-7933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 25529 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811824675
Jaclyn Mahoney's National Provider Identifier is 1811824675, issued on May 6, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Maria, CA. The record was last updated on May 6, 2026.