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

Eran Jax Barker, SUDRC12517

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790276731

Eran Jax Barker, SUDRC12517 is an Addiction (Substance Use Disorder) Counselor in Diamond Springs, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

484 Main St
Diamond Springs, CA 95619-9100
Phone: (916) 502-6239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 484 Pleasant Valley Rd, Diamond Springs, CA 95619 — (916) 502-6239

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 1255760617 (CA)

Record details

NPI number1790276731
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC12517
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

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