JENNELLE RENE GRAVES

RANCHO CORDOVA, CA
NPI1205791035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  20122)
Enumeration Date2025-12-23
Last Update Date2025-12-23
Business Address
JENNELLE RENE GRAVES SUDCC
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670-3202
Phone number: 916-848-2671
Mailing Address
JENNELLE RENE GRAVES SUDCC
940 VINTAGE OAK AVE
GALT, CA 95632-3020
Phone number: 209-765-7871
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