Individual provider · Type 1 NPI
Jennifer Wallace, SUDRC
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1508532953
Active
Practice location
98 Hendley St
Santa Rosa, CA 95404-5025
Mailing address
PO Box 1356
Santa Rosa, CA 95402-1356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1441130821 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Santa Rosa
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- Paul Cesar Gonzalez HernandezAddiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003206293
- Benjamin William Blair, R1499800323Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003510769
- Kai Martin Denis, CADC 1Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003520826
- Teri Musser, SUDRC 12678Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003577677
- Sandra C. Cespedes, SUDRC 1Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003743006
About NPI 1508532953
Jennifer Wallace, SUDRC's National Provider Identifier is 1508532953, issued on Aug 17, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 9, 2024.