JASON DAVIS

SANTA ROSA, CA
NPI1821892761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1603560325)
Enumeration Date2025-04-01
Last Update Date2025-04-01
Business Address
JASON DAVIS RADT
790 SONOMA AVE
SANTA ROSA, CA 95404-4713
Phone number: 707-544-3295
Mailing Address
JASON DAVIS RADT
2072 LEONARD AVE
SANTA ROSA, CA 95405-4720
Phone number: 707-380-4229