Individual provider · Type 1 NPI

Jennelle Rene Graves, SUDCC

Addiction (Substance Use Disorder) Counselor · Rancho Cordova, CA

NPI number 1205791035 Active

Practice location

10087 Terra Loma Dr
Rancho Cordova, CA 95670-3202

Call (916) 848-2671 Map

Mailing address

940 Vintage Oak Ave
Galt, CA 95632-3020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20122 (CA)

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

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About NPI 1205791035

Jennelle Rene Graves, SUDCC's National Provider Identifier is 1205791035, issued on Dec 23, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rancho Cordova, CA. The record was last updated on Dec 23, 2025.