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Mr. Rashard O Stallworth SR.
Mental Health Counselor in Stockton, California
NPI 1417124231

Rashard O Stallworth SR. is a Mental Health Counselor based in Stockton, CA and is specialized in Mental Health. Rashard O Stallworth SR. practices in Stockton, CA. The NPI Number for Rashard O Stallworth SR. is 1417124231 and holds a License No. (California).

The current practice location address for Rashard O Stallworth SR. is 1212 N California St, Stockton, CA and can be reached out via phone at 209-468-0102.

Location: 1212 N California St, Stockton, CA, 95202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417124231
Provider Name
Rashard O Stallworth SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1212 N California St, Stockton, CA, 95202
Phone Number
209-468-0102
Fax Number
Provider Enumeration Date
05/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-0102
Fax Number
person
Provider Business Mailing Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-0102
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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