Individual provider · Type 1 NPI

Jessie Heredia

Addiction (Substance Use Disorder) Counselor · Glendale, CA

NPI number 1184445108 Active

Practice location

4544 San Fernando Rd Ste 201
Glendale, CA 91204-5015

Call (866) 989-1195 Map

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 1184445108

Jessie Heredia's National Provider Identifier is 1184445108, issued on Oct 22, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, CA. The record was last updated on Oct 22, 2024.