Individual provider · Type 1 NPI

Carolyn Jeter

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1629254610 Active

Practice location

820 23rd St
Richmond, CA 94804-1338

Call (510) 229-5000 Map

Fax (510) 235-3112

Mailing address

230 S 17th St
Richmond, CA 94804-2604

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 1629254610

Carolyn Jeter's National Provider Identifier is 1629254610, issued on Jan 21, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Feb 5, 2008.