Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beck Jolly, CCAPP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417441072

Beck Jolly, CCAPP is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

5855 Streamview Dr
San Diego, CA 92105
Phone: (619) 287-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12405-R (CA)

Record details

NPI number1417441072
Entity typeIndividual (Type 1)
GenderMale
Credentials CCAPP
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESAugust 31, 2018

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