| The Stockton Therapy Network | |
|
343 E Main St Ste 702 Stockton CA 95202-2977 | |
| (209) 406-8497 | |
| (209) 910-9864 |
| Full Name | The Stockton Therapy Network |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 343 E Main St Ste 702, Stockton, California |
| Authorized Official Name and Position | Thomas C Maples (OWNER) |
| Authorized Official Contact | 2094068497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Stockton Therapy Network 343 E Main St Ste 702 Stockton CA 95202-2977 Ph: (209) 406-8497 | The Stockton Therapy Network 343 E Main St Ste 702 Stockton CA 95202-2977 Ph: (209) 406-8497 |
| NPI Number | 1265815492 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265815492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC43057 (California) | Primary |
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