person
Stanislav Fedechkin
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1467189845

Stanislav Fedechkin is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Stanislav Fedechkin practices in Santa Cruz, CA. The NPI Number for Stanislav Fedechkin is 1467189845 and holds a License No. (California).

The current practice location address for Stanislav Fedechkin is 380 Encinal St Ste 200, Santa Cruz, CA and can be reached out via phone at 831-469-1700 and via fax at 831-469-1700.

Location: 380 Encinal St Ste 200, Santa Cruz, CA, 95060-2178
person
Provider Profile Details
NPI Number
1467189845
Provider Name
Stanislav Fedechkin
Credential
Provider Entity Type
Individual
Gender
Male
Address
380 Encinal St Ste 200, Santa Cruz, CA, 95060-2178
Phone Number
831-469-1700
Fax Number
831-469-1700
Provider Enumeration Date
08/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
380 Encinal St Ste 200
City
State
Zip
95060-2178
Phone Number
831-469-1700
Fax Number
831-469-1700
person
Provider Business Mailing Address Details
Address
380 Encinal St Ste 200
City
State
Zip
95060-2178
Phone Number
831-469-1700
Fax Number
831-469-1700
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13856 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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