Individual provider · Type 1 NPI

Jacob Jawn Allen, SUD COUNSELOR

Addiction (Substance Use Disorder) Counselor · Hawthorne, CA

NPI number 1982418331 Active

Practice location

2501 W El Segundo Blvd
Hawthorne, CA 90250-3317

Call (562) 805-4363 Map

Mailing address

3613 W 146th St
Hawthorne, CA 90250-8454

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13385 (CA)

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

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About NPI 1982418331

Jacob Jawn Allen, SUD COUNSELOR's National Provider Identifier is 1982418331, issued on Feb 5, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hawthorne, CA. The record was last updated on May 28, 2025.