person
Mrs. Dianna Michelle Jenkins
Addiction (Substance Use Disorder) Counselor in Galt, California
NPI 1700450822

Dianna Michelle Jenkins is an Addiction (Substance Use Disorder) Counselor based in Galt, CA and is specialized in Addiction (Substance Use Disorder). Dianna Michelle Jenkins practices in Galt, CA. The NPI Number for Dianna Michelle Jenkins is 1700450822 and holds a License No. R1429020521 (California).

The current practice location address for Dianna Michelle Jenkins is 750 Spaans Dr Ste C, Galt, CA and can be reached out via phone at 092-744-9909 and via fax at 209-744-9910.

Location: 750 Spaans Dr Ste C, Galt, CA, 95632-8609
person
Provider Profile Details
NPI Number
1700450822
Provider Name
Dianna Michelle Jenkins
Credential
Provider Entity Type
Individual
Gender
Female
Address
750 Spaans Dr Ste C, Galt, CA, 95632-8609
Phone Number
092-744-9909
Fax Number
209-744-9910
Provider Enumeration Date
05/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912277492 05 CA
institution
Provider Business Practice Location Address Details
Address
750 Spaans Dr Ste C
City
State
Zip
95632-8609
Phone Number
092-744-9909
Fax Number
209-744-9910
person
Provider Business Mailing Address Details
Address
750 Spaans Dr Ste C
City
State
Zip
95632-8609
Phone Number
092-744-9909
Fax Number
209-744-9910
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1429020521 (California)
Definition
Definition to come...
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