Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN JARRELL SORG, RADT
Active Sole ProprietorJUSTIN JARRELL SORG, RADT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PACHECO, California. NPI 1790475283 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PACHECO, CA
Registration Details
- NPI Number
- 1790475283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2023 (3.2543177202889 yrs)
- Last Updated
- May 9, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
132 DAMASCUS DRPACHECO, CA, 945532611Browse CA providers · Browse ZIP 94553
- Phone
- 9254970534
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.