Individual provider · Type 1 NPI

Jenna Elise Delforge

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

NPI number 1215600192 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Call (831) 469-1700 Map

Fax (831) 425-1905

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1215600192

Jenna Elise Delforge's National Provider Identifier is 1215600192, issued on Jul 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 27, 2021.