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Jackie R Koudelka
Counselor in Stockton, California
NPI 1962904821

Jackie R Koudelka is a Counselor based in Stockton, CA. Jackie R Koudelka practices in Stockton, CA. The NPI Number for Jackie R Koudelka is 1962904821 and holds a License No. (California).

The current practice location address for Jackie R Koudelka is 6 S El Dorado St Ste 510, Stockton, CA and can be reached out via phone at 209-623-1411.

Location: 6 S El Dorado St Ste 510, Stockton, CA, 95202-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962904821
Provider Name
Jackie R Koudelka
Credential
Provider Entity Type
Individual
Gender
Female
Address
6 S El Dorado St Ste 510, Stockton, CA, 95202-2804
Phone Number
209-623-1411
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6 S El Dorado St Ste 510
City
Stockton
State
California
Zip
95202-2804
Phone Number
209-623-1411
Fax Number
person
Provider Business Mailing Address Details
Address
6 S El Dorado St Ste 510
City
Stockton
State
California
Zip
95202-2804
Phone Number
209-623-1411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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