| Stockton Family Therapy, Professional Corporation | |
|
20 N Sutter St Ste 400 Stockton CA 95202-2911 | |
| (209) 513-1908 | |
| Not Available |
| Full Name | Stockton Family Therapy, Professional Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 N Sutter St Ste 400, Stockton, California |
| Authorized Official Name and Position | Garland Dale Smith (PRESIDENT) |
| Authorized Official Contact | 9165410313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockton Family Therapy, Professional Corporation 20 N Sutter St Ste 400 Stockton CA 95202-2911 Ph: (209) 513-1908 | Stockton Family Therapy, Professional Corporation 20 N Sutter St Ste 400 Stockton CA 95202-2911 Ph: (209) 513-1908 |
| NPI Number | 1134755804 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 03/13/2020 |
| Certification Date | 03/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134755804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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