Individual provider · Type 1 NPI

Michael W. Jennings

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1174750244 Active

Practice location

3501 Atlantic Ave
Long Beach, CA 90807-4515

Fax (562) 981-1502

Mailing address

13741 Foothill Blvd Ste 240
Sylmar, CA 91342-3152

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 1174750244

Michael W. Jennings's National Provider Identifier is 1174750244, issued on Jun 16, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jun 16, 2009.