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NPI Code Detail

MEDICARE: JEANETTE RANGEL CADCI

MEDICARE:   JEANETTE  RANGEL  CADCI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCI46310225CA

General Provider Information

NPI Number : 1447950464
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE RANGEL CADCI
Provider Business Mailing Address
First Line : 18612 SANTA ANA AVE
Second Line :
City : BLOOMINGTON
State : CA
Zip : 92316-2639
Country : US
Telephone Number : 840-241-3888
Fax Number :
Provider Business Practice Location Address
First Line : 18612 SANTA ANA AVE
Second Line :
City : BLOOMINGTON
State : CA
Zip : 92316-2639
Country : US
Telephone Number : 909-421-7120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 05/09/2026

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Directions to “ JEANETTE RANGEL CADCI” Practice Location

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