Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE JONES, RADT-1 R9201214
Active Sole ProprietorJESSE JONES, RADT-1 R9201214 is a Substance Abuse Rehabilitation Facility healthcare provider located in NOVATO, California. NPI 1356715098 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · NOVATO, CA
Registration Details
- NPI Number
- 1356715098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2015 (10.738153520476 yrs)
- Last Updated
- Nov 18, 2015
- License
-
R9201214 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 LOLETA LNNOVATO, CA, 949475210Browse CA providers · Browse ZIP 94947
- Phone
- 4156786646
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Other Substance Abuse Rehabilitation Facility Providers in NOVATO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC JOSEPH PETERS SR. | — | 1912375254 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.