SearchCaliforniaSubstance Abuse Rehabilitation Facility

Jesse Jones, RADT-1 R9201214

NPI 1356715098 · on the registry since 2015 · sole proprietor

Practice

Address
530 Loleta Ln
Novato, CA 94947
Phone
(415) 678-6646

Registry record

Primary taxonomy
Substance Abuse Rehabilitation Facility
324500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California