Jayme Valine

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

NPI 1124785894 · NPPES record last updated Nov 17, 2021

Key facts

NPI
1124785894
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
12490 Alta Mesa Rd
Herald, CA 95638-8409
Phone
(209) 748-2470
NPI assigned
Nov 17, 2021
Sex
Male
Sole proprietor
No

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
River City Recovery Center Past
since Nov 21, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

12490 Alta Mesa Rd
Herald, CA 95638-8409

Mailing address

500 22ND St
Sacramento, CA 95816-3503

Other providers in Herald, CA

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

Sources for this page

Verify at the official NPI Registry.