Individual
JENNELL ANTOINETTE SPILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC II
Contact information
Practice address
7236 S RECOVERY RD, FRENCH CAMP, CA 95231-8901
(209) 888-6595
(209) 888-6596
Mailing address
7236 S RECOVERY RD, FRENCH CAMP, CA 95231-8901
(209) 888-6595
(209) 888-6596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
69587
CA
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
04/08/2008
Last updated
01/28/2025
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