Individual provider · Type 1 NPI

Jessica Rose Leavell, MA

Addiction (Substance Use Disorder) Counselor · Santa Ana, CA

NPI number 1114678760 Active

Practice location

2201 Kilson Dr
Santa Ana, CA 92707-2954

Mailing address

11541 Norgate Cir
Corona, CA 92878-9117

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1389630520 (CA)

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

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About NPI 1114678760

Jessica Rose Leavell, MA's National Provider Identifier is 1114678760, issued on Jan 14, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Jan 14, 2022.