Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THEODORE JAKES JR.
Active Sole ProprietorMR. THEODORE JAKES JR. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in RIVERSIDE, California. NPI 1750569380 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · RIVERSIDE, CA
Registration Details
- NPI Number
- 1750569380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2008 (18.507747015803 yrs)
- Last Updated
- Feb 6, 2008
- License
-
C8572406 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1777 ATLANTA AVESTE G1RIVERSIDE, CA, 92507Browse CA providers · Browse ZIP 92507
- Phone
- 9517783500
- Fax
- 9512749865
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| KEITH JAY OYAMA | RPH | 1295746485 |
| MRS. LISA K. VANEGAS | CADC-1 | 1447361266 |
| CHARLES HALLOWAY STOCKMAN | — | 1174614275 |
| MS. REGINA KENNEDY | LMFT | 1104973494 |
| MR. SEAN M. BILLS | CADC-II | 1427196823 |
| JOHN D OCONNELL | CDAC | 1770622961 |
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.