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

Jessikah Ingley, SUDRCI

Individual provider Peer Specialist · NPI 1710817739

Jessikah Ingley, SUDRCI is a Peer Specialist in Modesto, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
Specialties on file
2

Practice location Address checks out

1100 Kansas Ave Ste B
Modesto, CA 95351-1596
Phone: (209) 579-1151
Fax: (209) 579-9605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence MPSS-DYIQSE (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 26217 (CA)

Record details

NPI number1710817739
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRCI
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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