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Jerod Nielsen
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1770206989

Jerod Nielsen is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Jerod Nielsen practices in Long Beach, CA. The NPI Number for Jerod Nielsen is 1770206989 and holds a License No. 15334-RAC (California).

The current practice location address for Jerod Nielsen is 5190 Atlantic Ave, Long Beach, CA and can be reached out via phone at 818-996-1051.

Location: 5190 Atlantic Ave, Long Beach, CA, 90805-6510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770206989
Provider Name
Jerod Nielsen
Credential
Provider Entity Type
Individual
Gender
Male
Address
5190 Atlantic Ave, Long Beach, CA, 90805-6510
Phone Number
818-996-1051
Fax Number
Provider Enumeration Date
09/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5190 Atlantic Ave
City
Long Beach
State
California
Zip
90805-6510
Phone Number
818-996-1051
Fax Number
person
Provider Business Mailing Address Details
Address
5190 Atlantic Ave
City
Long Beach
State
California
Zip
90805-6510
Phone Number
818-996-1051
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15334-RAC (California)
Definition
Definition to come...
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