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Jermaine Bowden
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1093087454

Jermaine Bowden is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Jermaine Bowden practices in Stockton, CA. The NPI Number for Jermaine Bowden is 1093087454 and holds a License No. (California).

The current practice location address for Jermaine Bowden is 503 S Pershing Ave, Stockton, CA and can be reached out via phone at 209-810-5864.

Location: 503 S Pershing Ave, Stockton, CA, 95203-3236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093087454
Provider Name
Jermaine Bowden
Credential
Provider Entity Type
Individual
Gender
Male
Address
503 S Pershing Ave, Stockton, CA, 95203-3236
Phone Number
209-810-5864
Fax Number
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
503 S Pershing Ave
City
Stockton
State
California
Zip
95203-3236
Phone Number
209-810-5864
Fax Number
person
Provider Business Mailing Address Details
Address
503 S Pershing Ave
City
Stockton
State
California
Zip
95203-3236
Phone Number
209-810-5864
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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