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Contact Information

SEAN A JEROME, CADCII
1102 BUCKINGHAM DR APT B
COSTA MESA, CA92626-2137
 Phone: 951-473-6484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for SEAN A JEROME · (Male)

NPI # 1831884550
Status Active
Credentials CADCII
Entity Individual
Enumeration date 04/07/2023
Last updated 04/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A061540822
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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