Provider Demographics
NPI:1588541700
Name:WELCOME, JAMAR (RADT-1/CLINICAL TECH)
Entity type:Individual
Prefix:MR
First Name:JAMAR
Middle Name:
Last Name:WELCOME
Suffix:
Gender:M
Credentials:RADT-1/CLINICAL TECH
Other - Prefix:
Other - First Name:JAMAR
Other - Middle Name:
Other - Last Name:WELCOME
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RADT-1/CLINICAL TECH
Mailing Address - Street 1:2100 CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5721
Mailing Address - Country:US
Mailing Address - Phone:916-442-4985
Mailing Address - Fax:
Practice Address - Street 1:2100 CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5721
Practice Address - Country:US
Practice Address - Phone:916-442-4985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1599100225101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)