JASON L WATKINS

FAIRFIELD, CA
NPI1144839630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1395990620)
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
JASON L WATKINS
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
Mailing Address
JASON L WATKINS
1143 MISSOURI ST
FAIRFIELD, CA 94533-6007
Phone number: 707-435-9911
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