JASON LEE PIMENTEL RAC #15174 NPI 1144979360

NPI Information

NPI: 1144979360
Provider Name: JASON LEE PIMENTEL, RAC #15174
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
455 K ST
CRESCENT CITY, CA
ZIP 95531
Phone: (707) 464-7224
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Jason Lee Pimentel, RAC #15174 is an addiction (substance use disorder) counselor in Crescent City, CA. Jason Lee Pimentel, RAC #15174 NPI is 1144979360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

455 K ST
CRESCENT CITY, CA
ZIP 95531-107
Phone: (707) 464-7224
Fax: (707) 465-4272

The enumeration date for this NPI number is 3/23/2022 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	RAC15174	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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