Individual provider · Type 1 NPI

Lateisha Abernathy

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1194656843 Active

Practice location

333 N San Joaquin St
Stockton, CA 95202-2954

Call (209) 993-7663 Map

Mailing address

1619 Bridle Path Apt 246
Stockton, CA 95210-6693

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 1194656843

Lateisha Abernathy's National Provider Identifier is 1194656843, issued on May 28, 2026. 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 May 28, 2026.