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Jamie Marie Walton
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1689292559

Jamie Marie Walton is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Jamie Marie Walton practices in San Jose, CA. The NPI Number for Jamie Marie Walton is 1689292559 and holds a License No. R1370041119 (California).

The current practice location address for Jamie Marie Walton is 102 S 11Th St, San Jose, CA and can be reached out via phone at 408-998-5191.

Location: 102 S 11Th St, San Jose, CA, 95112-2132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689292559
Provider Name
Jamie Marie Walton
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 S 11Th St, San Jose, CA, 95112-2132
Phone Number
408-998-5191
Fax Number
Provider Enumeration Date
07/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1370041119 01 CA RADT
institution
Provider Business Practice Location Address Details
Address
102 S 11Th St
City
San Jose
State
California
Zip
95112-2132
Phone Number
408-998-5191
Fax Number
person
Provider Business Mailing Address Details
Address
102 S 11Th St
City
San Jose
State
California
Zip
95112-2132
Phone Number
408-998-5191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1370041119 (California)
Definition
Definition to come...
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