Individual provider · Type 1 NPI

Meranda L. Jelly, RADT-I

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1013680941 Active

Practice location

1820 Scenic Ave
Berkeley, CA 94709-1395

Mailing address

2323 Hearst Ave
Berkeley, CA 94709-1319

Specialties and licenses

TaxonomyCodeLicense
Technician 374700000XR1439940721 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1439940721 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013680941

Meranda L. Jelly, RADT-I's National Provider Identifier is 1013680941, issued on Jul 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Jul 27, 2021.