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Search › California › Addiction (Substance Use Disorder) Counselor

Theodore Jakes

NPI 1750569380 · on the registry since 2008 · sole proprietor

Practice

Address
1777 Atlanta Ave
Ste G1
Riverside, CA 92507
Phone
(951) 778-3500
Fax
(951) 274-9865
Organisation at this address
Riverside County Dept Mental Health
Riverside County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-02-06
Status
Not present in the most recent federal file

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