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

Jacob Roush

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063306272

Jacob Roush is an Addiction (Substance Use Disorder) Counselor in Camarillo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

592 Lantana St Apt 95
Camarillo, CA 93010-6158
Phone: (213) 332-1367
Show map & directions

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

Specialties & licences

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

Record details

NPI number1063306272
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address22722 Soledad Canyon Rd, Santa Clarita, CA 91350-2629

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