JESSICA SARAH HINES
NPI 1841930344
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA
Active since March 31, 2022
About Jessica Sarah Hines NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA SARAH HINES (NPI 1841930344) is an individual addiction (substance use disorder) provider in Santa Rosa, California, licensed in California (22743) and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1841930344
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA SARAH HINES
Location Address625 STEELE LNSanta Rosa, CA 95403-3127
Mailing Address625 Steele LnSanta Rosa, CA 95403-3127 · (170) 757-6081 · Fax (707) 576-7845
Phone(707) 576-0818
Fax(707) 576-7845
Sole ProprietorYes
Enumeration DateMarch 31, 2022
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1841930344 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 22743
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X · License 49-02 (CA)
625 STEELE LN, Santa Rosa, CA 95403
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
625 STEELE LN
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Counselor (Addiction (Substance Use Disorder))
625 STEELE LN
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Radiology (Diagnostic Radiology)
625 STEELE LN
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Counselor (Addiction (Substance Use Disorder))
625 STEELE LN
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Counselor (Addiction (Substance Use Disorder))
625 STEELE LN
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Counselor (Addiction (Substance Use Disorder))
625 STEELE LN
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841930344, enumerated as an "individual" on March 31, 2022.
The provider is located at 625 STEELE LN SANTA ROSA, CA 95403 and the phone number is (707) 576-0818.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).