Individual provider · Type 1 NPI
Jessica Anne Pellegrin, RADT-1
Addiction (Substance Use Disorder) Counselor · Riverside, CA
NPI number
1053796110
Active
Practice location
3576 Arlington Ave Suite 102 & 104
Riverside, CA 92506-3907
Fax (951) 782-9521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053796110
Jessica Anne Pellegrin, RADT-1's National Provider Identifier is 1053796110, issued on Jul 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Nov 16, 2016.