Individual provider · Type 1 NPI

Shelly D. Laack

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1114049681 Active

Practice location

620 N Aurora St Ste 1
Stockton, CA 95202-2276

Fax (209) 468-8640

Mailing address

4322 Legacy Ct
Stockton, CA 95219-2506

Specialties and licenses

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

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

23 other providers at this address

Other addiction (substance use disorder) counselor providers in Stockton

See all in Stockton →

About NPI 1114049681

Shelly D. Laack's National Provider Identifier is 1114049681, issued on Apr 4, 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.