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

Jason Lee Pimentel, RAC15174

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144979360

Jason Lee Pimentel, RAC15174 is an Addiction (Substance Use Disorder) Counselor in Crescent City, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

455 K St
Crescent City, CA 95531-4107
Phone: (707) 464-7224
Fax: (707) 465-4272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence RAC15174 (CA)

Record details

NPI number1144979360
Entity typeIndividual (Type 1)
GenderMale
Credentials RAC15174
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

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