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Tag M Mcfadden
Mental Health Counselor in Stockton, California
NPI 1962775528

Tag M Mcfadden is a Mental Health Counselor based in Lodi, CA and is specialized in Mental Health. Tag M Mcfadden practices in Stockton, CA. The NPI Number for Tag M Mcfadden is 1962775528 and holds a License No. (California).

The current practice location address for Tag M Mcfadden is 1212 N California St, Stockton, CA and can be reached out via phone at 209-468-8660.

Location: 1212 N California St, Stockton, CA, 95240-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962775528
Provider Name
Tag M Mcfadden
Credential
Provider Entity Type
Individual
Gender
Male
Address
1212 N California St, Stockton, CA, 95240-6205
Phone Number
209-468-8660
Fax Number
Provider Enumeration Date
02/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-8660
Fax Number
person
Provider Business Mailing Address Details
Address
1212 N California St
City
Stockton
State
California
Zip
95202-1552
Phone Number
209-468-8660
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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