Individual provider · Type 1 NPI

Maria Fernanda Jenkinson, CADC L CI22270620

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

NPI number 1760965966 Active

Practice location

2101 E 1st St
Santa Ana, CA 92705-4007

Fax (714) 906-0947

Mailing address

10520 Lakeside Dr N Unit J
Garden Grove, CA 92840-5060

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI22270620 (CA)

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

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About NPI 1760965966

Maria Fernanda Jenkinson, CADC L CI22270620's National Provider Identifier is 1760965966, issued on Sep 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Ana, CA. The record was last updated on Apr 11, 2022.