Jacquelyn Y. Arias

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Palm Springs, CA

NPI 1043569965 · NPPES record last updated Apr 18, 2023

Key facts

NPI
1043569965
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868
Phone
(760) 424-5602
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Ranch Recovery Centers Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X CA Yes

Addresses

Primary practice location

2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868

Mailing address

2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868
Phone (760) 424-5602

Other providers in Palm Springs, CA

All providers in Palm Springs, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.