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JODIE MARIE CONRAD
NPI 1720389208
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since November 15, 2010
6154 MISSION GORGE RD STE 120, SAN DIEGO, CA 92120(616) 285-1718(616) 285-3803 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodie Marie Conrad NPPES

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

JODIE MARIE CONRAD (NPI 1720389208) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1720389208
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJODIE MARIE CONRAD
Location Address6154 MISSION GORGE RD STE 120San Diego, CA 92120-3435
Mailing Address6154 Mission Gorge Rd Ste 120San Diego, CA 92120-3435 · (616) 285-1718 · Fax (616) 285-3803
Phone(616) 285-1718
Fax(616) 285-3803
Sole ProprietorNo
Enumeration DateNovember 15, 2010
✔ NPI 1720389208 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
6154 MISSION GORGE RD STE 120, San Diego, CA 92120
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Other Identifiers 1

Medicaid000000CA

Other Providers at the Same Location NPPES 7

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

MONYETTE KATHLEEN HARRIS
Clinic/Center
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 285-1718
JOHNNIE LEE BRANCH
Case Manager/Care Coordinator
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 285-1718
MRS. C. RENE REED CASII, RAS
Counselor (Addiction (Substance Use Disorder))
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 285-1718
MS. JUANITA LAVERNE PRICE
Case Manager/Care Coordinator
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 285-1718
DANA SOCKOLOV
Counselor (Addiction (Substance Use Disorder))
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 285-1718
MISS SALLY LYNN DUGGER
Counselor (Addiction (Substance Use Disorder))
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 285-1718
LETICIA GONZALES OLGUIN INTERN
Peer Specialist
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA 92120
San Diego County (619) 277-6666

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 Jodie Conrad's NPI number?

The NPI number for Jodie Conrad is 1720389208. It was assigned to this individual provider in the NPPES registry on November 15, 2010.

Where is Jodie Conrad located?

Jodie Conrad practices at 6154 Mission Gorge Rd Ste 120, San Diego, CA 92120. The listed phone number is (616) 285-1718.

What is Jodie Conrad'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 Jodie Conrad was last updated on November 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.