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Jedediah Charles Beall
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1821528472

Jedediah Charles Beall is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Jedediah Charles Beall practices in Santa Rosa, CA. The NPI Number for Jedediah Charles Beall is 1821528472 and holds a License No. (California).

The current practice location address for Jedediah Charles Beall is 440 Arrowood Dr, Santa Rosa, CA and can be reached out via phone at 707-284-2950.

Location: 440 Arrowood Dr, Santa Rosa, CA, 95405-8540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821528472
Provider Name
Jedediah Charles Beall
Credential
Provider Entity Type
Individual
Gender
Male
Address
440 Arrowood Dr, Santa Rosa, CA, 95405-8540
Phone Number
707-284-2950
Fax Number
Provider Enumeration Date
06/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 Arrowood Dr
City
Santa Rosa
State
California
Zip
95407-7503
Phone Number
707-284-2950
Fax Number
person
Provider Business Mailing Address Details
Address
440 Arrowood Dr
City
Santa Rosa
State
California
Zip
95407-7503
Phone Number
707-284-2950
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.
()
Definition
Definition to come...
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