Individual provider · Type 1 NPI

Jessica Lynn Andersonbaker

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1790287944 Active

Practice location

1235 Mchenry Ave Ste A
Modesto, CA 95350-5370

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 1790287944

Jessica Lynn Andersonbaker's National Provider Identifier is 1790287944, issued on Mar 4, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Mar 4, 2018.