Individual provider · Type 1 NPI

Jason Davis, RADT

Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA

NPI number 1821892761 Active

Practice location

790 Sonoma Ave
Santa Rosa, CA 95404-4713

Call (707) 544-3295 Map

Mailing address

2072 Leonard Ave
Santa Rosa, CA 95405-4720

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1603560325 (CA)

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

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About NPI 1821892761

Jason Davis, RADT's National Provider Identifier is 1821892761, issued on Apr 1, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 1, 2025.