Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lucille Anderson, SUDCCIII-CS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528261187

Jennifer Lucille Anderson, SUDCCIII-CS is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

2550 W Clinton Ave Bldg A #125
Fresno, CA 93705-9370
Phone: (559) 408-4643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2550 W Clinton Ave Bldg B 134, Fresno, CA 93705-9370 — (559) 408-4492

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 7177 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 7177 (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1528261187
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDCCIII-CS
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

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