Individual provider · Type 1 NPI

Elodia Maria Ybanez, SUDRC 11788

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1114606449 Active

Practice location

1981 Cherokee Rd
Stockton, CA 95205-2720

Call (209) 870-6500 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X39007BN (CA)

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

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About NPI 1114606449

Elodia Maria Ybanez, SUDRC 11788's National Provider Identifier is 1114606449, issued on Jul 13, 2023. 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 13, 2023.