| Stephen R Colestock Jr, | |
|
9826 18th Ave, Blythe, CA 92225-9229 | |
| (760) 922-8625 | |
| Not Available |
| Full Name | Stephen R Colestock Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9826 18th Ave, Blythe, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750150058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R Colestock Jr, 1100 N D St, San Bernardino, CA 92410-3524 Ph: (760) 886-5003 | Stephen R Colestock Jr, 9826 18th Ave, Blythe, CA 92225-9229 Ph: (760) 922-8625 |
Patricia Kem, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1297 W. Hobsonway, Blythe, CA 92225 Phone: 760-989-4900 | |
Eddie Vega, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9826 18th Ave, Blythe, CA 92225 Phone: 760-922-8625 | |
Monty Keith Dale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 E Donlon St Apt 2476c, Blythe, CA 92225 Phone: 310-279-0756 | |
Ms. Danielle Friend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1297 W Hobsonway, Blythe, CA 92225 Phone: 760-921-5000 | |
David S Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9826 18th Ave, Blythe, CA 92225 Phone: 619-321-9845 | |
Mr. Westin James Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9826 18th Ave, Blythe, CA 92225 Phone: 760-922-8625 | |
Mr. Timothy Lawrence Barrett, CCAPP R1289870218 Counselor Medicare: Not Enrolled in Medicare Practice Location: 9826 18th Ave, Blythe, CA 92225 Phone: 760-922-8625 |