person
Jodie Marie Conrad
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1720389208

Jodie Marie Conrad is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Jodie Marie Conrad practices in San Diego, CA. The NPI Number for Jodie Marie Conrad is 1720389208 and holds a License No. (California).

The current practice location address for Jodie Marie Conrad is 6154 Mission Gorge Rd Ste 120, San Diego, CA and can be reached out via phone at 616-285-1718 and via fax at 616-285-3803.

Location: 6154 Mission Gorge Rd Ste 120, San Diego, CA, 92120-3435
person
Provider Profile Details
NPI Number
1720389208
Provider Name
Jodie Marie Conrad
Credential
Provider Entity Type
Individual
Gender
Female
Address
6154 Mission Gorge Rd Ste 120, San Diego, CA, 92120-3435
Phone Number
616-285-1718
Fax Number
616-285-3803
Provider Enumeration Date
11/15/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000000 05 CA
institution
Provider Business Practice Location Address Details
Address
6154 Mission Gorge Rd Ste 120
City
State
Zip
92120-3435
Phone Number
616-285-1718
Fax Number
616-285-3803
person
Provider Business Mailing Address Details
Address
6154 Mission Gorge Rd Ste 120
City
State
Zip
92120-3435
Phone Number
616-285-1718
Fax Number
616-285-3803
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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