Jason Etchingham Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI

1902452568

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

R1353070719 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2019-08-09

Last updated

2019-08-09