Individual provider · Type 1 NPI

Jedediah Charles Beall

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

NPI number 1821528472 Active

Practice location

440 Arrowood Dr
Santa Rosa, CA 95407-7503

Call (707) 284-2950 Map

Mailing address

2727 Canterbury Dr
Santa Rosa, CA 95405-8540

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 1821528472

Jedediah Charles Beall's National Provider Identifier is 1821528472, issued on Jun 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 15, 2017.