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JACQUELYN ANETTE VAN BUREN RADT
NPI 1295568483
Counselor - Addiction (Substance Use Disorder) in Fairfield, CA

Active since August 22, 2024
1234 TRAVIS BLVD, FAIRFIELD, CA 94533(707) 718-4872 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacquelyn Anette Van Buren Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN ANETTE VAN BUREN RADT (NPI 1295568483) is an individual addiction (substance use disorder) provider in Fairfield, California, licensed in California (R1568820724) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1295568483
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELYN ANETTE VAN BURENCredential: RADT
Location Address1234 TRAVIS BLVDFairfield, CA 94533-4802
Mailing Address609 Jefferson StFairfield, CA 94533-6293 · (707) 718-4872
Phone(707) 718-4872
Sole ProprietorNo
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1295568483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1568820724
1234 TRAVIS BLVD, Fairfield, CA 94533
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERINA MELODY BAILEY SUDRC
Counselor (Addiction (Substance Use Disorder))
1234 TRAVIS BLVD
FAIRFIELD, CA 94533
Solano County (707) 399-9190
ARCHWAY RECOVERY SERVICES
Substance Abuse Rehabilitation Facility
1234 TRAVIS BLVD
FAIRFIELD, CA 94533
Solano County (707) 435-1804
PHILLIP FRASER
Counselor (Addiction (Substance Use Disorder))
1234 TRAVIS BLVD
FAIRFIELD, CA 94533
Solano County (707) 399-9105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Van Buren's NPI number?

The NPI number for Jacquelyn Van Buren is 1295568483. It was assigned to this individual provider in the NPPES registry on August 22, 2024.

Where is Jacquelyn Van Buren located?

Jacquelyn Van Buren practices at 1234 Travis Blvd, Fairfield, CA 94533. The listed phone number is (707) 718-4872.

What is Jacquelyn Van Buren's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Van Buren was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.