Individual provider · Type 1 NPI
Jessica Sarah Hines
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1841930344
Active
Practice location
625 Steele Ln
Santa Rosa, CA 95403-3127
Fax (707) 576-7845
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic | 261QM2800X | 49-02 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 22743 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1841930344
Jessica Sarah Hines's National Provider Identifier is 1841930344, issued on Mar 31, 2022. 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 Oct 15, 2024.