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NPI Code Detail

MEDICARE: JESSICA H ALBIN CADC-II

MEDICARE: JESSICA H ALBIN CADC-II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistMPSS-ICBKTJCA
2101YA0400XAddiction (Substance Use Disorder) CounselorA060960222CA

General Provider Information

NPI Number : 1245601723
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA H ALBIN CADC-II
Provider Business Mailing Address
First Line : 4212 MISSOURI FLAT RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6269
Country : US
Telephone Number : 530-556-2018
Fax Number :
Provider Business Practice Location Address
First Line : 4212 MISSOURI FLAT RD
Second Line :
City : PLACERVILLE
State : CA
Zip : 95667-6269
Country : US
Telephone Number : 530-556-2018
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2015
Last Update Date : 02/26/2026

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Directions to “ JESSICA H ALBIN CADC-II” Practice Location

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