Individual provider · Type 1 NPI

Demetrius Jerrell, SUDRC

Addiction (Substance Use Disorder) Counselor · San Diego, CA

NPI number 1619701018 Active

Practice location

6145 Imperial Ave
San Diego, CA 92114-4213

Call (619) 234-8888 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19181 (CA)

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

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About NPI 1619701018

Demetrius Jerrell, SUDRC's National Provider Identifier is 1619701018, issued on Aug 28, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Aug 28, 2024.