Individual
JESSIKAH INGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC I
Contact information
Practice address
1100 KANSAS AVE STE B, MODESTO, CA 95351-1596
(209) 579-1151
(209) 579-9605
Mailing address
901 CALIFORNIA AVE APT 12, MODESTO, CA 95351-2584
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26217
CA
175T00000X
Peer Specialist
MPSS-DYIQSE
CA
Other
Enumeration date
05/21/2026
Last updated
08/12/2026
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