Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERAN JAX BARKER, SUDRC 12517
ActiveERAN JAX BARKER, SUDRC 12517 is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DIAMOND SPRINGS, California. NPI 1790276731 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DIAMOND SPRINGS, CA
Registration Details
- NPI Number
- 1790276731
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2018 (8.2148570519202 yrs)
- Last Updated
- Jun 17, 2022
- License
-
1255760617 (CA)
Practice Information
- Address
-
484 MAIN STDIAMOND SPRINGS, CA, 956199100Browse CA providers · Browse ZIP 95619
- Phone
- 9165026239
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DIAMOND SPRINGS, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. SALINA MARIE DRENNAN | CATC III | 1386833283 |
| MISS DAIQUARI ROSS | PSYD | 1346552296 |
| KRISTIN ARENZ | RADTI | 1639553845 |
| MRS. NORA MAE MAYS | — | 1730604091 |
| STEPHANIE CARLSON | — | 1750806949 |
| CURTIS LUDWICK | — | 1265923270 |
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.