Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIE LANE L BICKNELL, RADT
Active Sole ProprietorJENNIE LANE L BICKNELL, RADT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAN RAFAEL, California. NPI 1396579611 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1396579611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2024 (1.9369550782122 yrs)
- Last Updated
- Aug 28, 2024
- License
-
R1518840823 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
603 D STSAN RAFAEL, CA, 949013719Browse CA providers · Browse ZIP 94901
- Phone
- 4154549444
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN LEORA LEONARD | MFT | 1497828818 |
| MS. STEPHANIE ANN BLOESCH | M.F.T. | 1932267366 |
| MR. HERBERT PERRY NORMAN JR. | RAS | 1659597201 |
| MS. ALESSANDRA KAMERON | — | 1295944809 |
| BRYAN SMITH | CADC II | 1205010857 |
| MRS. MICHELLE ANNE PURDY | CADAC | 1326377599 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.