JASON ETCHINGHAM

BERKELEY, CA
NPI1902452568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  R1353070719)
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
JASON ETCHINGHAM
1816 SCENIC AVE
BERKELEY, CA 94709-1324
Phone number: 510-548-7270
Mailing Address
JASON ETCHINGHAM
2303 PARK BLVD APT 2
OAKLAND, CA 94606-1439
Phone number: 510-915-4892
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