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
| 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 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.