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

Jerry Chan

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013796069

Jerry Chan is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1369 E Highland Ave
San Bernardino, CA 92404-4640
Phone: (909) 571-6035
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 A020971015 (CA)

Record details

NPI number1013796069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026

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