| Eran Jax Barker, SUDRC 12517 | |
|
484 Main St, Diamond Springs, CA 95619-9100 | |
| (916) 502-6239 | |
| Not Available |
| Full Name | Eran Jax Barker |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 484 Main St, Diamond Springs, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790276731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1255760617 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eran Jax Barker, SUDRC 12517 484 Main St, Diamond Springs, CA 95619-9100 Ph: () - | Eran Jax Barker, SUDRC 12517 484 Main St, Diamond Springs, CA 95619-9100 Ph: (916) 502-6239 |
P'anna Jefferies, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-626-2589 | |
Kara Rose Okumura, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-626-3105 | |
Kim Marie Dillon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 768 Pleasant Valley Rd, Suite 102, Diamond Springs, CA 95619 Phone: 530-621-6116 Fax: 530-295-2532 | |
Angelique Danielle Laprise, SUDRC #12534 Counselor Medicare: Not Enrolled in Medicare Practice Location: 484 Pleasant Valley Rd., # 4, Diamond Springs, CA 95619 Phone: 530-344-7633 Fax: 530-497-5202 | |
Robin Sullivan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-295-1491 | |
Suzanne Mcloed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln, Diamond Springs, CA 95619 Phone: 530-295-1491 Fax: 530-621-1082 | |
Benjamin Saubolle-camacho, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 Fowler Ln Ste 204, Diamond Springs, CA 95619 Phone: 530-626-3105 |