Individual provider · Type 1 NPI

Jeanette Demedenko

Addiction (Substance Use Disorder) Counselor · Stanton, CA

NPI number 1992682546 Active

Practice location

10936 Dale Ave
Stanton, CA 90680-2724

Call (714) 952-4032 Map

Fax (714) 952-4075

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22359 (CA)

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

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About NPI 1992682546

Jeanette Demedenko's National Provider Identifier is 1992682546, issued on Aug 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stanton, CA. The record was last updated on Aug 18, 2025.