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

Jesse Carreon, SUDRC14462

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1063261931

Jesse Carreon, SUDRC14462 is an Addiction (Substance Use Disorder) Counselor in Panorama City, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

9462 Van Nuys Blvd
Panorama City, CA 91402-1310
Phone: (818) 891-8555
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 14462 (CA)

Record details

NPI number1063261931
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC14462
Sole proprietorYes
NPI enumeratedMay 14, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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