Jesse Carreon, SUDRC#14462
NPI #1063261931 in Panorama City, California
Provider Information
- NPI Number
- 1063261931
- Entity Type
- Individual
- Name
- Jesse Carreon, SUDRC#14462
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDRC#14462
- Enumeration Date
- May 14, 2024
- Last Updated
- May 14, 2024
Practice Location
- Address
- 9462 VAN NUYS BLVD
- City
- Panorama City
- State
- California
- ZIP Code
- 91402-1310
- Phone
- (818) 891-8555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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