Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VAUGHN JORDAN WEST, AA
ActiveVAUGHN JORDAN WEST, AA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SOUTH PASADENA, California. NPI 1902421712 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SOUTH PASADENA, CA
Registration Details
- NPI Number
- 1902421712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2020 (6.1559090268957 yrs)
- Last Updated
- Jul 12, 2024
Practice Information
- Address
-
149 PASADENA AVESOUTH PASADENA, CA, 910302947Browse CA providers · Browse ZIP 91030
- Phone
- 3232743065
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in SOUTH PASADENA, CA
| Name | Credential | NPI |
|---|---|---|
| PRUE E COOPER | LAADC-S, CMPSS | 1629318738 |
| KARINA MARTINEZ | — | 1174298558 |
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.