Jacob Jawn Allen, SUD Counselor
Counselor, Addiction (Substance Use Disorder) in Hawthorne, CA. Individual provider (NPI-1).
NPI number1982418331
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1982418331
- Entity type
- Individual (NPI-1)
- Name
- Jacob Jawn Allen
- Credential
- SUD Counselor
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2025
- Certification date
- May 28, 2025
- Last updated
- May 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 13385 | CA | Yes |
Practice location
2501 W El Segundo BlvdHawthorne, CA 90250-3317
Phone 562-805-4363
Mailing address
3613 W 146th StHawthorne, CA 90250-8454
Phone 323-497-0766
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All 68 Addiction (Substance Use Disorder) Counselor providers in Hawthorne · All 1,167 providers in Hawthorne
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