JACK VINCENT BYRD
NPI 1811679152
Counselor - Addiction (Substance Use Disorder) in Oceanside, CA
Active since August 04, 2023
About Jack Vincent Byrd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK VINCENT BYRD (NPI 1811679152) is an individual addiction (substance use disorder) provider in Oceanside, California and active in the NPI registry since August 2023.
NPPES Registry Identity
NPI1811679152
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK VINCENT BYRD
Location Address3923 WARING RD STE DOceanside, CA 92056-4457
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651
Phone(760) 726-4451
Sole ProprietorYes
Enumeration DateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1811679152 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
3923 WARING RD STE D, Oceanside, CA 92056
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811679152, enumerated as an "individual" on August 04, 2023.
The provider is located at 3923 WARING RD STE D OCEANSIDE, CA 92056 and the phone number is (760) 726-4451.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
