Mr. Theodore Jakes Jr.
Mr. Theodore Jakes Jr. is an Addiction (Substance Use Disorder) Counselor in Riverside, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
1777 Atlanta Ave Ste G1Riverside, CA 92507 Not confirmed with CMS for 18 years — call before visiting
Phone: (951) 778-3500
Fax: (951) 274-9865
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence C8572406 (CA) |
|---|
Record details
| NPI number | 1750569380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2008 |
| Last updated in NPPES | February 6, 2008 |
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