person
Andrea Carruth
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1093050718

Andrea Carruth is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Andrea Carruth practices in Stockton, CA. The NPI Number for Andrea Carruth is 1093050718 and holds a License No. (California).

The current practice location address for Andrea Carruth is 1947 N California St Ste B, Stockton, CA and can be reached out via phone at 209-463-0870 and via fax at 209-463-1803.

Location: 1947 N California St Ste B, Stockton, CA, 95204
person
Provider Profile Details
NPI Number
1093050718
Provider Name
Andrea Carruth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1947 N California St Ste B, Stockton, CA, 95204
Phone Number
209-463-0870
Fax Number
209-463-1803
Provider Enumeration Date
12/06/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1947 N California St Ste B
City
State
Zip
95204-6029
Phone Number
209-463-0870
Fax Number
209-463-1803
person
Provider Business Mailing Address Details
Address
1947 N California St Ste B
City
State
Zip
95204-6029
Phone Number
209-463-0870
Fax Number
209-463-1803
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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