Individual provider · Type 1 NPI

Lisa Nixon

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1194902494 Active

Practice location

6707 Embarcadero Dr
Stockton, CA 95219-3382

Call (209) 956-4240 Map

Fax (209) 956-4245

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 1194902494

Lisa Nixon's National Provider Identifier is 1194902494, issued on Jan 29, 2008. 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 Jan 29, 2008.