person
Walter L Broady
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1275805632

Walter L Broady is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Walter L Broady practices in Stockton, CA. The NPI Number for Walter L Broady is 1275805632 and holds a License No. (California).

The current practice location address for Walter L Broady 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
person
Provider Profile Details
NPI Number
1275805632
Provider Name
Walter L Broady
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
State
Zip
95203-3236
Phone Number
209-810-5864
Fax Number
person
Provider Business Mailing Address Details
Address
503 S Pershing Ave
City
State
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
License No.
()
Definition
Definition to come...
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