Individual provider · Type 1 NPI

Lela Danielle Ford Hetzer

Addiction (Substance Use Disorder) Counselor · San Andreas, CA

NPI number 1043959059 Active

Practice location

590 Toyanza Dr
San Andreas, CA 95249-0000

Call (209) 754-6555 Map

Mailing address

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17873 (CA)

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

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About NPI 1043959059

Lela Danielle Ford Hetzer's National Provider Identifier is 1043959059, issued on May 31, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Andreas, CA. The record was last updated on Jul 29, 2026.