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Lois Carter-shaw
Peer Specialist in Stockton, California
NPI 1629403829

Lois Carter-shaw is a Peer Specialist based in Stockton, CA. Lois Carter-shaw practices in Stockton, CA. The NPI Number for Lois Carter-shaw is 1629403829 and holds a License No. MPSS-VNMTRX (California).

The current practice location address for Lois Carter-shaw is 4545 Georgetown Pl Ste A3, Stockton, CA and can be reached out via phone at 209-479-5429. You can also correspond with Lois Carter-shaw through the mailing address at 4545 GEORGETOWN PL STE A3, STOCKTON, CA - 95207-6228 (mailing address contact number: ).

Location: 4545 Georgetown Pl Ste A3, Stockton, CA, 95207-6228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629403829
Provider Name
Lois Carter-shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
4545 Georgetown Pl Ste A3, Stockton, CA, 95207-6228
Phone Number
209-479-5429
Fax Number
Provider Enumeration Date
09/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 01 CA BEHAVIORAL HEALTH AND SOCIAL SERVICES PROVIDER
institution
Provider Business Practice Location Address Details
Address
4545 Georgetown Pl Ste A3
City
Stockton
State
California
Zip
95207-6228
Phone Number
209-479-5429
Fax Number
person
Provider Business Mailing Address Details
Address
4545 Georgetown Pl Ste A3
City
Stockton
State
California
Zip
95207-6228
Phone Number
209-479-5429
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-VNMTRX (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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