Individual provider · Type 1 NPI
Dina R. Jenkins, RDA
Addiction (Substance Use Disorder) Counselor · San Bruno, CA
NPI number
1104170026
Active
Practice location
1001 Sneath Ln
San Bruno, CA 94066-2308
Fax (650) 244-1447
Other practice locations
- 2950 International Blvd, Oakland, CA 94601-2228 · (510) 535-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | R1360600819 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1360600819 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Luis A. Moncada-Reyes Sr.Addiction (Substance Use Disorder) Counselor San Bruno, CA NPI 1245782275
About NPI 1104170026
Dina R. Jenkins, RDA's National Provider Identifier is 1104170026, issued on Oct 30, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bruno, CA. The record was last updated on Feb 27, 2020.