Individual provider · Type 1 NPI

Jason Etchingham

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1902452568 Active

Practice location

1816 Scenic Ave
Berkeley, CA 94709-1324

Call (510) 548-7270 Map

Mailing address

2303 Park Blvd Apt 2
Oakland, CA 94606-1439

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1353070719 (CA)

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

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About NPI 1902452568

Jason Etchingham's National Provider Identifier is 1902452568, issued on Aug 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Aug 9, 2019.