San Joaquin County Behavioral Health Services | |
4422 N Pershing Ave Ste D2 Stockton CA 95207-6967 | |
(209) 953-8843 | |
(209) 953-8478 |
Full Name | San Joaquin County Behavioral Health Services |
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Speciality | Community/behavioral Health |
Location | 4422 N Pershing Ave Ste D2, Stockton, California |
Authorized Official Name and Position | Catherine Marie Lee (MH CLINICIAN III) |
Authorized Official Contact | 2099538843 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Joaquin County Behavioral Health Services 4422 N Pershing Ave Ste D2 Stockton CA 95207-6967 Ph: (209) 953-8843 | San Joaquin County Behavioral Health Services 4422 N Pershing Ave Ste D2 Stockton CA 95207-6967 Ph: (209) 953-8843 |
NPI Number | 1881048270 |
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Provider Enumeration Date | 04/21/2016 |
Last Update Date | 04/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881048270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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