JENNIE LANE L BICKNELL RADT
NPI 1396579611
Counselor - Addiction (Substance Use Disorder) in San Rafael, CA
About Jennie Lane L Bicknell Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIE LANE L BICKNELL RADT (NPI 1396579611) is an individual addiction (substance use disorder) provider in San Rafael, California, licensed in California (R1518840823) and active in the NPI registry since August 2024.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
SAN RAFAEL, CA 94901
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 Jennie Lane Bicknell's NPI number?
The NPI number for Jennie Lane Bicknell is 1396579611. It was assigned to this individual provider in the NPPES registry on August 28, 2024. The provider is also known as Jennie Lane Bicknell Cadac.
Where is Jennie Lane Bicknell located?
Jennie Lane Bicknell practices at 603 D St, San Rafael, CA 94901. The listed phone number is (415) 454-9444.
What is Jennie Lane Bicknell'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 Jennie Lane Bicknell was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jennie Lane L Bicknell, RADT · NPI 1396579611
Addiction (Substance Use Disorder) provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since August 28, 2024.
## Identity
- **NPI:** 1396579611 (Entity type: Individual)
- **Enumerated:** August 28, 2024
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** R1518840823 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 603 D ST, San Rafael, CA 94901-3719
- **Phone:** (415) 454-9444
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396579611) · Data from the CMS NPPES public registry.