Individual
JAYLA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4206
(714) 312-7519
Mailing address
5888 GINGER DR, EASTVALE, CA 92880-4626
(310) 489-3436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
741570
CA
164X00000X
Licensed Vocational Nurse
Primary
741570
CA
Other
Enumeration date
02/25/2025
Last updated
03/11/2025
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