person
Michael Robert Coronel, R1447771021
Addiction (Substance Use Disorder) Counselor in Lodi, California
NPI 1306506688

Michael Robert Coronel is an Addiction (Substance Use Disorder) Counselor based in Lodi, CA and is specialized in Addiction (Substance Use Disorder). Michael Robert Coronel practices in Lodi, CA and has the professional credentials of R1447771021. The NPI Number for Michael Robert Coronel is 1306506688 and holds a License No. (California).

The current practice location address for Michael Robert Coronel is 541 S Ham Ln Ste B, Lodi, CA and can be reached out via phone at 209-553-0798.

Location: 541 S Ham Ln Ste B, Lodi, CA, 95242-3530
person
Provider Profile Details
NPI Number
1306506688
Provider Name
Michael Robert Coronel
Credential
R1447771021
Provider Entity Type
Individual
Gender
Female
Address
541 S Ham Ln Ste B, Lodi, CA, 95242-3530
Phone Number
209-553-0798
Fax Number
Provider Enumeration Date
12/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
541 S Ham Ln Ste B
City
State
Zip
95242-3530
Phone Number
209-553-0798
Fax Number
person
Provider Business Mailing Address Details
Address
541 S Ham Ln Ste B
City
State
Zip
95242-3530
Phone Number
209-553-0798
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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