Individual
MRS. CHIAH JASMINE ROGINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDCC
Contact information
Practice address
810 N STATE ST, UKIAH, CA 95482-3410
(707) 462-7267
Mailing address
810 N STATE ST, UKIAH, CA 95482-3410
(707) 462-7267
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12790-R
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
8142
CA
225400000X
Rehabilitation Practitioner
Primary
8142
CA
Other
Enumeration date
07/31/2018
Last updated
04/12/2023
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