Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antioch Rehab

Organization Addiction (Substance Use Disorder) Counselor · NPI 1053006569

Antioch Rehab is an Addiction (Substance Use Disorder) Counselor in Antioch, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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Practice location Address checks out

3720 Sunset Ln Ste B
Antioch, CA 94509-6124
Phone: (310) 343-8684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1053006569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Young — Manager · (310) 343-8684
NPI enumeratedApril 10, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing address3720 Sunset Ln Ste B, Antioch, CA 94509-6124

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