Jennie Lane L Bicknell, RADT
Jennie Lane L Bicknell, RADT is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
603 D StSan Rafael, CA 94901-3719
Phone: (415) 454-9444
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1518840823 (CA) |
|---|
Record details
| NPI number | 1396579611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RADT |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2024 |
| Last updated in NPPES | August 28, 2024 |
| Certification date | August 28, 2024 |
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