person
Sioban Regina Mersaroli
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1639669070

Sioban Regina Mersaroli is an Addiction (Substance Use Disorder) Counselor based in Tracy, CA and is specialized in Addiction (Substance Use Disorder). Sioban Regina Mersaroli practices in Stockton, CA. The NPI Number for Sioban Regina Mersaroli is 1639669070 and holds a License No. R1265630917 (California).

The current practice location address for Sioban Regina Mersaroli is 1947 N California St, Stockton, CA and can be reached out via phone at 209-463-0807.

Location: 1947 N California St, Stockton, CA, 95376-3248
person
Provider Profile Details
NPI Number
1639669070
Provider Name
Sioban Regina Mersaroli
Credential
Provider Entity Type
Individual
Gender
Female
Address
1947 N California St, Stockton, CA, 95376-3248
Phone Number
209-463-0807
Fax Number
Provider Enumeration Date
05/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 CA
institution
Provider Business Practice Location Address Details
Address
1947 N California St
City
State
Zip
95204-6029
Phone Number
209-463-0807
Fax Number
person
Provider Business Mailing Address Details
Address
1947 N California St
City
State
Zip
95204-6029
Phone Number
209-463-0807
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1265630917 (California)
Definition
Definition to come...
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