Individual provider · Type 1 NPI

Wjuanita Anntronette Stallwoth

Counselor · Fairfield, CA

NPI number 1285143701 Active

Practice location

801 Empire St
Fairfield, CA 94533

Call (707) 425-5744 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1285143701

Wjuanita Anntronette Stallwoth's National Provider Identifier is 1285143701, issued on Sep 27, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fairfield, CA. The record was last updated on Sep 27, 2017.