person
John Mattthew Ilonummi, RADT
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1417593864

John Mattthew Ilonummi is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). John Mattthew Ilonummi practices in Stockton, CA and has the professional credentials of RADT. The NPI Number for John Mattthew Ilonummi is 1417593864 and holds a License No. 390017AN (California).

The current practice location address for John Mattthew Ilonummi is 1222 Monaco Ct Ste 28, Stockton, CA and can be reached out via phone at 209-644-6328.

Location: 1222 Monaco Ct Ste 28, Stockton, CA, 95207-7132
person
Provider Profile Details
NPI Number
1417593864
Provider Name
John Mattthew Ilonummi
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
1222 Monaco Ct Ste 28, Stockton, CA, 95207-7132
Phone Number
209-644-6328
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1222 Monaco Ct Ste 28
City
State
Zip
95207-6742
Phone Number
209-644-6328
Fax Number
person
Provider Business Mailing Address Details
Address
1222 Monaco Ct Ste 28
City
State
Zip
95207-6742
Phone Number
209-644-6328
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
390017AN (California)
Definition
Definition to come...
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