Individual provider · Type 1 NPI
Jon Hallman
Addiction (Substance Use Disorder) Counselor · San Rafael, CA
NPI number
1902263320
Active
Practice location
603 D St
San Rafael, CA 94901-3719
Mailing address
812 D St
San Rafael, CA 94901-2814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902263320
Jon Hallman's National Provider Identifier is 1902263320, issued on Jan 15, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Aug 12, 2024.