person
Mr. Derek Michael Sauceda, CATC
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1023520590

Derek Michael Sauceda is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Derek Michael Sauceda practices in Stockton, CA and has the professional credentials of CATC. The NPI Number for Derek Michael Sauceda is 1023520590 and holds a License No. 390017AN (California).

The current practice location address for Derek Michael Sauceda is 1222 Monaco Ct Ste 28, Stockton, CA and can be reached out via phone at 209-644-6328 and via fax at 209-644-6308.

Location: 1222 Monaco Ct Ste 28, Stockton, CA, 95207-7132
person
Provider Profile Details
NPI Number
1023520590
Provider Name
Derek Michael Sauceda
Credential
CATC
Provider Entity Type
Individual
Gender
Male
Address
1222 Monaco Ct Ste 28, Stockton, CA, 95207-7132
Phone Number
209-644-6328
Fax Number
209-644-6308
Provider Enumeration Date
10/24/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390017AN 01 CA COURT ORDERED ORSELF PAY
institution
Provider Business Practice Location Address Details
Address
1222 Monaco Ct Ste 28
City
State
Zip
95207-6742
Phone Number
209-644-6328
Fax Number
209-644-6308
person
Provider Business Mailing Address Details
Address
1222 Monaco Ct Ste 28
City
State
Zip
95207-6742
Phone Number
209-644-6328
Fax Number
209-644-6308
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
390017AN (California)
Definition
Definition to come...
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