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

Meranda L Jelly, RADT-I

Individual provider Technician · NPI 1013680941

Meranda L Jelly, RADT-I is a Technician in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1820 Scenic Ave
Berkeley, CA 94709-1395
Phone: (510) 548-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1439940721 (CA)
Technician Taxonomy 374700000X · Licence R1439940721 (CA)

Record details

NPI number1013680941
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT-I
Sole proprietorYes
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

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