JACOB JAWN ALLEN SUD COUNSELOR NPI 1982418331

NPI Information

  • NPI: 1982418331
  • Provider Name: JACOB JAWN ALLEN, SUD COUNSELOR
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2501 W EL SEGUNDO BLVD
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (562) 805-4363

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NPI Details

Jacob Jawn Allen, SUD COUNSELOR is an addiction (substance use disorder) counselor in Hawthorne, CA. Jacob Jawn Allen, SUD COUNSELOR NPI is 1982418331. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2501 W EL SEGUNDO BLVD
HAWTHORNE, CA
ZIP 90250-317
Phone: (562) 805-4363

The enumeration date for this NPI number is 2/5/2025 and was last updated on 5/28/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)13385CALIFORNIAYes

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: 3/30/2025

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