| Drishti Counseling Services Corp | |
|
1869 W Willow St Stockton CA 95203-1417 | |
| (209) 986-7752 | |
| Not Available |
| Full Name | Drishti Counseling Services Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1869 W Willow St, Stockton, California |
| Authorized Official Name and Position | Lonita Darrasie Cordova (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 2099867752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drishti Counseling Services Corp 1869 W Willow St Stockton CA 95203-1417 Ph: (209) 986-7752 | Drishti Counseling Services Corp 1869 W Willow St Stockton CA 95203-1417 Ph: (209) 986-7752 |
| NPI Number | 1316672355 |
|---|---|
| Provider Enumeration Date | 07/22/2022 |
| Last Update Date | 07/22/2022 |
| Certification Date | 07/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316672355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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