Individual provider · Type 1 NPI

Jeanelle Roos, SUDRC

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1649136128 Active

Practice location

1342 E 27th St
Oakland, CA 94606-3266

Call (510) 535-0611 Map

Mailing address

20556 Fuchsia Ct
Cherryland, CA 94541-1803

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22398 (CA)

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

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About NPI 1649136128

Jeanelle Roos, SUDRC's National Provider Identifier is 1649136128, issued on Dec 29, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Dec 30, 2025.