Jessie Heredia
Jessie Heredia is an Addiction (Substance Use Disorder) Counselor in Glendale, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4544 San Fernando Rd Ste 201Glendale, CA 91204-5015
Phone: (866) 989-1195
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1184445108 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 22, 2024 |
| Last updated in NPPES | October 22, 2024 |
| Certification date | October 22, 2024 |
| Mailing address | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 |
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