JENNELLE RENE GRAVES SUDCC
NPI 1205791035
Counselor - Addiction (Substance Use Disorder) in Rancho Cordova, CA

Active since December 23, 2025
10087 TERRA LOMA DR, RANCHO CORDOVA, CA 95670(916) 848-2671 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennelle Rene Graves Sudcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNELLE RENE GRAVES SUDCC (NPI 1205791035) is an individual addiction (substance use disorder) provider in Rancho Cordova, California, licensed in California (20122) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1205791035
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNELLE RENE GRAVESCredential: SUDCC
Location Address10087 TERRA LOMA DRRancho Cordova, CA 95670-3202
Mailing Address940 Vintage Oak AveGalt, CA 95632-3020 · (209) 765-7871 · Fax (209) 765-7871
Sole ProprietorNo
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
NPI 1205791035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 20122
10087 TERRA LOMA DR, Rancho Cordova, CA 95670

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Substance Abuse Rehabilitation Facility
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Licensed Vocational Nurse
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Counselor (Addiction (Substance Use Disorder))
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Licensed Vocational Nurse
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Counselor (Addiction (Substance Use Disorder))
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Counselor (Addiction (Substance Use Disorder))
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670
Counselor (Addiction (Substance Use Disorder))
10087 TERRA LOMA DR
RANCHO CORDOVA, CA 95670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennelle Graves's NPI number?

The NPI number for Jennelle Graves is 1205791035. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Jennelle Graves located?

Jennelle Graves practices at 10087 Terra Loma Dr, Rancho Cordova, CA 95670. The listed phone number is (916) 848-2671.

What is Jennelle Graves's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jennelle Graves was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.