person
Johnmark Vanness II
Professional Counselor in Stockton, California
NPI 1679237861

Johnmark Vanness II is a Professional Counselor based in Lodi, CA and is specialized in Professional. Johnmark Vanness II practices in Stockton, CA. The NPI Number for Johnmark Vanness II is 1679237861 and holds a License No. (California).

The current practice location address for Johnmark Vanness II is 4545 Georgetown Pl, Stockton, CA and can be reached out via phone at 209-955-1139 and via fax at 209-955-1143.

Location: 4545 Georgetown Pl, Stockton, CA, 95240-6805
person
Provider Profile Details
NPI Number
1679237861
Provider Name
Johnmark Vanness II
Credential
Provider Entity Type
Individual
Gender
Male
Address
4545 Georgetown Pl, Stockton, CA, 95240-6805
Phone Number
209-955-1139
Fax Number
209-955-1143
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200806425 05 CA
institution
Provider Business Practice Location Address Details
Address
4545 Georgetown Pl
City
State
Zip
95207-6215
Phone Number
209-955-1139
Fax Number
209-955-1143
person
Provider Business Mailing Address Details
Address
4545 Georgetown Pl
City
State
Zip
95207-6215
Phone Number
209-955-1139
Fax Number
209-955-1143
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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