Individual provider · Type 1 NPI

Tina Jeanette Villagomez

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1346363447 Active

Practice location

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

Call (209) 953-7302 Map

Mailing address

519 S Netherton Ave
Stockton, CA 95205-6623

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 1346363447

Tina Jeanette Villagomez's National Provider Identifier is 1346363447, issued on Apr 6, 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.