person
Roxanne Omega Gorrell, SUDRC14155
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1467165761

Roxanne Omega Gorrell is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Roxanne Omega Gorrell practices in Stockton, CA and has the professional credentials of SUDRC14155. The NPI Number for Roxanne Omega Gorrell is 1467165761 and holds a License No. 39007BN (California).

The current practice location address for Roxanne Omega Gorrell is 1981 Cherokee Rd, Stockton, CA and can be reached out via phone at 209-870-6500.

Location: 1981 Cherokee Rd, Stockton, CA, 95205-2720
person
Provider Profile Details
NPI Number
1467165761
Provider Name
Roxanne Omega Gorrell
Credential
SUDRC14155
Provider Entity Type
Individual
Gender
Female
Address
1981 Cherokee Rd, Stockton, CA, 95205-2720
Phone Number
209-870-6500
Fax Number
Provider Enumeration Date
01/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1981 Cherokee Rd
City
State
Zip
95205-2720
Phone Number
209-870-6500
Fax Number
person
Provider Business Mailing Address Details
Address
1981 Cherokee Rd
City
State
Zip
95205-2720
Phone Number
209-870-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
39007BN (California)
Definition
Definition to come...
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