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

Mr. Theodore Jakes Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750569380

Mr. Theodore Jakes Jr. is an Addiction (Substance Use Disorder) Counselor in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

1777 Atlanta Ave Ste G1
Riverside, CA 92507
Phone: (951) 778-3500
Fax: (951) 274-9865
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 C8572406 (CA)

Record details

NPI number1750569380
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 6, 2008
Last updated in NPPESFebruary 6, 2008

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