Provider Demographics
NPI:1720345853
Name:SCEALES, JONI LOUISE (CADCII)
Entity Type:Individual
Prefix:
First Name:JONI
Middle Name:LOUISE
Last Name:SCEALES
Suffix:
Gender:F
Credentials:CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 L ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4522
Mailing Address - Country:US
Mailing Address - Phone:661-868-6107
Mailing Address - Fax:661-868-6150
Practice Address - Street 1:222 34TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2234
Practice Address - Country:US
Practice Address - Phone:661-868-6107
Practice Address - Fax:661-868-6666
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA014230315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)