Individual provider · Type 1 NPI

Lesvy Jackeline Granillo, CADC-II CA

Addiction (Substance Use Disorder) Counselor · Wilmington, CA

NPI number 1871786038 Active

Practice location

909 N Avalon Blvd
Wilmington, CA 90744-4503

Fax (310) 513-1311

Other practice locations

  • 590 Rio Lindo Ave, Chico, CA 95926-1817 · (530) 897-0562
  • 3707 E Shields Ave, Fresno, CA 93726-7029 · (559) 229-9040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAII056590518 (CA)

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

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About NPI 1871786038

Lesvy Jackeline Granillo, CADC-II CA's National Provider Identifier is 1871786038, issued on Aug 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilmington, CA. The record was last updated on Sep 2, 2026.