is a Counselor in Stockton, California. practices all healthcare services and medical treatments related to Counselor. The NPI Number for is 1639336639. The last update date is .
's current location address is 1149 N El Dorado St, Stockton, California. You can contact this provider via phone number 2094682335. The mailing address for is 1149 N El Dorado St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1149 N El Dorado St, Stockton, California |
| Phone Number | 2094682335 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639336639 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1149 N El Dorado St |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952021305 |
| Phone Number | 2094682335 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
|
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D3744685 | CA | DRIVER LICENSE |
Post Comment/ Review Below
Query execution failed: SQLSTATE[42000]: Syntax error or access violation: 1064 You have an error in your SQL syntax; check the manual that corresponds to your MariaDB server version for the right syntax to use near ') ORDER BY id ASC' at line 1
FAQs about
Other Providers of Counselor
Gulf Bend Mental Health Mental Retardation Center
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX