Individual provider · Type 1 NPI

Jenell Lagard Ross, SUDCC IV

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1124943295 Active

Practice location

2845 Monroe St
Riverside, CA 92504-4271

Call (562) 235-6894 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6474 (CA)
Pastoral Counselor 101YP1600XNone listed

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

Another provider at this address

Other addiction (substance use disorder) counselor providers in Riverside

See all in Riverside →

About NPI 1124943295

Jenell Lagard Ross, SUDCC IV's National Provider Identifier is 1124943295, issued on Aug 10, 2026. 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 Aug 11, 2026.