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Ingrid Cervantes, SUDRC
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1659017135

Ingrid Cervantes is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Ingrid Cervantes practices in Stockton, CA and has the professional credentials of SUDRC. The NPI Number for Ingrid Cervantes is 1659017135 and holds a License No. (California).

The current practice location address for Ingrid Cervantes is 620 N Aurora St Ste 1, Stockton, CA and can be reached out via phone at 209-468-8356.

Location: 620 N Aurora St Ste 1, Stockton, CA, 95202-2276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659017135
Provider Name
Ingrid Cervantes
Credential
SUDRC
Provider Entity Type
Individual
Gender
Female
Address
620 N Aurora St Ste 1, Stockton, CA, 95202-2276
Phone Number
209-468-8356
Fax Number
Provider Enumeration Date
05/09/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13268 05 CA
institution
Provider Business Practice Location Address Details
Address
620 N Aurora St Ste 1
City
Stockton
State
California
Zip
95202-2276
Phone Number
209-468-8356
Fax Number
person
Provider Business Mailing Address Details
Address
620 N Aurora St Ste 1
City
Stockton
State
California
Zip
95202-2276
Phone Number
209-468-8356
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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