Jesse Jones, RADT-1R9201214
Jesse Jones, RADT-1R9201214 is a Substance Abuse Rehabilitation Facility in Novato, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
530 Loleta LnNovato, CA 94947-5210
Phone: (415) 678-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence R9201214 (CA) |
|---|
Record details
| NPI number | 1356715098 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RADT-1R9201214 |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2015 |
| Last updated in NPPES | November 18, 2015 |
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