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

Jessie James Lawrence

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164988721

Jessie James Lawrence is an Addiction (Substance Use Disorder) Counselor in Ceres, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1904 Richland Ave
Ceres, CA 95307-4562
Phone: (209) 525-7411
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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9285 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1164988721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2019
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address1100 Kansas Ave Ste B, Modesto, CA 95351-1596

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