person
Mr. Theodore Edward Anderson IV
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1184842833

Theodore Edward Anderson IV is an Addiction (Substance Use Disorder) Counselor based in Manteca, CA and is specialized in Addiction (Substance Use Disorder). Theodore Edward Anderson IV practices in Stockton, CA. The NPI Number for Theodore Edward Anderson IV is 1184842833 and holds a License No. (California).

The current practice location address for Theodore Edward Anderson IV is 1839 S El Dorado St, Stockton, CA and can be reached out via phone at 209-463-0872.

Location: 1839 S El Dorado St, Stockton, CA, 95336-2938
person
Provider Profile Details
NPI Number
1184842833
Provider Name
Theodore Edward Anderson IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
1839 S El Dorado St, Stockton, CA, 95336-2938
Phone Number
209-463-0872
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1839 S El Dorado St
City
State
Zip
95206-2025
Phone Number
209-463-0872
Fax Number
person
Provider Business Mailing Address Details
Address
1839 S El Dorado St
City
State
Zip
95206-2025
Phone Number
209-463-0872
Fax Number
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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