Justin Jarrell Sorg, RADT is a
Counselor - Addiction (substance Use Disorder) based in Pacheco, California. Justin Jarrell Sorg is licensed to practice in * (Not Available) (license number ) and his current practice location is
132 Damascus Dr, Pacheco, California. He can be reached at his office (for appointments etc.) via phone at
(925) 497-0534.
NPI number for Justin Jarrell Sorg is 1790475283 and his current mailing address is 1647 Willow Pass Rd # 313, Concord, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790475283.
Healthcare Provider's Profile
| Full Name | Justin Jarrell Sorg |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 132 Damascus Dr, Pacheco, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790475283
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Justin Jarrell Sorg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790475283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Jarrell Sorg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Justin Jarrell Sorg, RADT
1647 Willow Pass Rd # 313,
Concord, CA 94520-2611
Ph: (925) 497-0534 | Justin Jarrell Sorg, RADT
132 Damascus Dr,
Pacheco, CA 94553-2611
Ph: (925) 497-0534 |
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