NEAL KENNEDY SUDRC
NPI 1427745900
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since April 24, 2023

406 SUNRISE AVE STE 100, ROSEVILLE, CA 95661(916) 782-3737 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Neal Kennedy Sudrc NPPES

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

NEAL KENNEDY SUDRC (NPI 1427745900) is an individual addiction (substance use disorder) provider in Roseville, California, licensed in California (14334) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1427745900

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameNEAL KENNEDYCredential: SUDRC

Location Address406 SUNRISE AVE STE 100Roseville, CA 95661-4106

Mailing Address406 Sunrise Ave Ste 105Roseville, CA 95661-4106 · (530) 878-5166

Phone(916) 782-3737

Sole ProprietorNo

Enumeration DateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1427745900 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 · 14334

406 SUNRISE AVE STE 100, Roseville, CA 95661

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Other Providers at the Same Location NPPES 13

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

GRANITE WELLNESS CENTERS

Community/Behavioral Health