MEDICARE: JUSTIN ARIC REITAN

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1548521339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN ARIC REITAN

Provider Business Mailing Address
First Line	:	9410 DRUMMOND LN
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95618-4999
Country	:	US
Telephone Number	:	530-219-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 CHADBOURNE RD
Second Line	:	SUITE E
City	:	FAIRFIELD
State	:	CA
Zip	:	94534-9600
Country	:	US
Telephone Number	:	707-425-9670
Fax Number	:	707-425-9880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	06/07/2012

Similar Medicare Providers

1154633766 — MAX MADRIGAL
Practice Location Address:

470 CHADBOURNE RD
FAIRFIELD, CA
94534-9600

Practice Phone: 707-419-8989
Practice Fax: 707-254-1779

1952567695 — MS. CYNTHIA ELIZABETH GRAY LCSW
Practice Location Address:

470 CHADBOURNE RD STE F
FAIRFIELD, CA
94534-9600

Practice Phone: 707-557-4560
Practice Fax: 707-557-7909

1538454616 — COSETTE CRISTINA DELGADO ASW
Practice Location Address:

470 CHADBOURNE RD , SUITE F
FAIRFIELD, CA
94534-9600

Practice Phone: 707-425-9670
Practice Fax:

1881016889 — DAVID HUGHES
Practice Location Address:

470 CHADBOURNE RD , SUITE A
FAIRFIELD, CA
94534-9600

Practice Phone: 707-427-1845
Practice Fax: 707-427-1637

1144621897 — KAITLYN NICOLE VALDEZ MA
Practice Location Address:

470 CHADBOURNE RD
FAIRFIELD, CA
94534-9600

Practice Phone: 707-628-8081
Practice Fax:

1700242989 — MARK MAUTNER I M.A.
Practice Location Address:

470 CHADBOURNE RD
FAIRFIELD, CA
94534-9600

Practice Phone: 707-224-8266
Practice Fax:

Directions to “ JUSTIN ARIC REITAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.