Organization · Type 2 NPI
Lags Spine and Sportscare Medical Centers, Inc.
Addiction (Substance Use Disorder) Psychologist · Stockton, CA
Practice location
4505 Precissi Ln Ste A
Stockton, CA 95207-6240
Fax (209) 451-0704
Mailing address
218 N I St
Lompoc, CA 93436-0909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | None listed |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
Another provider at this address
About NPI 1255897757
Lags Spine and Sportscare Medical Centers, Inc.'s National Provider Identifier is 1255897757, issued on Feb 20, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Stockton, CA. The record was last updated on Feb 20, 2019.