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Lisa Marie Hertenstein
Addiction (Substance Use Disorder) Counselor in Manteca, California
NPI 1245750223

Lisa Marie Hertenstein is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Lisa Marie Hertenstein practices in Manteca, CA. The NPI Number for Lisa Marie Hertenstein is 1245750223 and holds a License No. (California).

The current practice location address for Lisa Marie Hertenstein is 955 W Center St, Manteca, CA and can be reached out via phone at 209-239-9600.

Location: 955 W Center St, Manteca, CA, 95206-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245750223
Provider Name
Lisa Marie Hertenstein
Credential
Provider Entity Type
Individual
Gender
Female
Address
955 W Center St, Manteca, CA, 95206-6305
Phone Number
209-239-9600
Fax Number
Provider Enumeration Date
06/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
955 W Center St
City
Manteca
State
California
Zip
95337-7300
Phone Number
209-239-9600
Fax Number
person
Provider Business Mailing Address Details
Address
955 W Center St
City
Manteca
State
California
Zip
95337-7300
Phone Number
209-239-9600
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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