Jason Vaughn Shoemaker
Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder)
1153 1/2 N Orange Dr
Los Angeles
, California 90038-1007
Jason Vaughn Shoemaker
Addiction Counselor (Substance Use Disorder) Addiction Psychologist (Substance Use Disorder)
1153 1/2 N Orange Dr
Los Angeles
, California 90038-1007
(310) 795-4066
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Addiction Psychologist (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Jason Vaughn Shoemaker
- 1153 1/2 N Orange Dr
- Los Angeles, CA
- Zip : 90038-1007
- Phone : (310) 795-4066
Second Address
- Jason Vaughn Shoemaker
- 1153 1/2 N Orange Dr
- Los Angeles, CA
- Zip : 90038-1007
- Phone : (310) 795-4066
Reviews
FAQs
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What type of doctor is Jason Vaughn Shoemaker
In what state does Jason Vaughn Shoemaker practice in?
Where is Jason Vaughn Shoemaker ’s practice located?
What is Jason Vaughn Shoemaker ’s gender?
Is Jason Vaughn Shoemaker a sole practitioner?
Is Jason Vaughn Shoemaker accepting new patients?
What languages does Jason Vaughn Shoemaker speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | R1198020415 | CA |
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | I7460559728 | CA |
National Provider Identifier
| NPI | 1023404563 |
|---|---|
| Provider Name | Jason Vaughn Shoemaker |
| First Address | Los Angeles, CA 90038-1007 |
| Second Address | Los Angeles, CA 90038-1007 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2015 |
| Last Update Date | 01/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.