person
Mr. Theodore Jakes JR.
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1750569380

Theodore Jakes JR. is an Addiction (Substance Use Disorder) Counselor based in Corona, CA and is specialized in Addiction (Substance Use Disorder). Theodore Jakes JR. practices in Riverside, CA. The NPI Number for Theodore Jakes JR. is 1750569380 and holds a License No. C8572406 (California).

The current practice location address for Theodore Jakes JR. is 1777 Atlanta Ave, Riverside, CA and can be reached out via phone at 951-778-3500 and via fax at 951-274-9865.

Location: 1777 Atlanta Ave, Riverside, CA, 92882
person
Provider Profile Details
NPI Number
1750569380
Provider Name
Theodore Jakes JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1777 Atlanta Ave, Riverside, CA, 92882
Phone Number
951-778-3500
Fax Number
951-274-9865
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1777 Atlanta Ave
City
State
Zip
92507
Phone Number
951-778-3500
Fax Number
951-274-9865
person
Provider Business Mailing Address Details
Address
1777 Atlanta Ave
City
State
Zip
92507
Phone Number
951-778-3500
Fax Number
951-274-9865
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C8572406 (California)
Definition
Definition to come...
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