JASON LEE PIMENTEL

CRESCENT CITY, CA
NPI1144979360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RAC15174)
Enumeration Date2022-03-23
Last Update Date2022-03-23
Business Address
JASON LEE PIMENTEL RAC #15174
455 K ST
CRESCENT CITY, CA 95531-4107
Phone number: 707-464-7224
Mailing Address
JASON LEE PIMENTEL RAC #15174
455 K ST
CRESCENT CITY, CA 95531-4107
Phone number: 707-464-7224