Individual provider · Type 1 NPI

Jaqueline Mathiesen, SUD COUNSELOR

Addiction (Substance Use Disorder) Counselor · San Mateo, CA

NPI number 1972360899 Active

Practice location

2251 Palm Ave
San Mateo, CA 94403-1814

Call (650) 513-6500 Map

Mailing address

2685 30th Ave
San Francisco, CA 94116-2933

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972360899

Jaqueline Mathiesen, SUD COUNSELOR's National Provider Identifier is 1972360899, issued on Mar 6, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Mar 6, 2024.