Individual provider · Type 1 NPI

Joseph Cordova

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1316060056 Active

Practice location

620 N Aurora St Ste 1
Stockton, CA 95202-2276

Fax (209) 468-8640

Mailing address

746 W Alameda St
Manteca, CA 95336-4404

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 1316060056

Joseph Cordova's National Provider Identifier is 1316060056, issued on Apr 9, 2007. 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 8, 2007.