MR. Jason Vernon Santibanez, CADC-II, ICADC, SAP

NPI #1386111383 in Gridley, California

Provider Information

NPI Number: 1386111383
Entity Type: Individual
Name: MR. Jason Vernon Santibanez, CADC-II, ICADC, SAP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CADC-II, ICADC, SAP
Enumeration Date: Oct 28, 2018
Last Updated: Oct 28, 2018

Practice Location

Address: 608 KENTUCKY ST
City: Gridley
State: California
ZIP Code: 95948-2118
Phone: (530) 228-2816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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