person
Jessica Sarah Hines
Methadone Clinic in Santa Rosa, California
NPI 1841930344

Jessica Sarah Hines is a Methadone Clinic based in Santa Rosa, CA and is specialized in Methadone. Jessica Sarah Hines practices in Santa Rosa, CA. The NPI Number for Jessica Sarah Hines is 1841930344 and holds a License No. 49-02 (California).

The current practice location address for Jessica Sarah Hines is 625 Steele Ln, Santa Rosa, CA and can be reached out via phone at 707-576-0818 and via fax at 707-576-7845. You can also correspond with Jessica Sarah Hines through the mailing address at 625 STEELE LN, SANTA ROSA, CA - 95403-3127 (mailing address contact number: 170-757-6081).

Location: 625 Steele Ln, Santa Rosa, CA, 95403-3127
person
Provider Profile Details
NPI Number
1841930344
Provider Name
Jessica Sarah Hines
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Steele Ln, Santa Rosa, CA, 95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Steele Ln
City
State
Zip
95403-3127
Phone Number
707-576-0818
Fax Number
707-576-7845
person
Provider Business Mailing Address Details
Address
625 Steele Ln
City
State
Zip
95403-3127
Phone Number
170-757-6081
Fax Number
707-576-7845
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
49-02 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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