Individual provider · Type 1 NPI

Edelisa V. Roberts

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1043331671 Active

Practice location

2506 Dry Creek Way
Stockton, CA 95206-5839

Call (209) 468-9394 Map

Fax (209) 468-8640

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043331671

Edelisa V. Roberts's National Provider Identifier is 1043331671, issued on Apr 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Jul 8, 2007.