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

Jacquelyn Anette Van Buren, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295568483

Jacquelyn Anette Van Buren, RADT is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1234 Travis Blvd
Fairfield, CA 94533-4802
Phone: (707) 718-4872
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 · Licence R1568820724 (CA)

Record details

NPI number1295568483
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024

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