Individual provider · Type 1 NPI

Conrad Samuel Suka Jennings

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1073485660 Active

Practice location

6838 W Sunset Blvd
Los Angeles, CA 90028-7008

Mailing address

716 E Nutwood St
Inglewood, CA 90301-2816

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1073485660

Conrad Samuel Suka Jennings's National Provider Identifier is 1073485660, issued on Sep 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 22, 2025.