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

Lesvy Jackeline Granillo, CADC-IICA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1871786038

Lesvy Jackeline Granillo, CADC-IICA is an Addiction (Substance Use Disorder) Counselor in Wilmington, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

909 N Avalon Blvd
Wilmington, CA 90744-4503
Phone: (310) 513-0626
Fax: (310) 513-1311
Show map & directions

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

Additional practice locations (1)

  • 590 Rio Lindo Ave, Chico, CA 95926-1817 — (530) 897-0562

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence AII056590518 (CA)

Record details

NPI number1871786038
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADC-IICA
Sole proprietorNo
NPI enumeratedAugust 21, 2007
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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