Individual provider · Type 1 NPI
Rashard O. Stallworth Sr.
Mental Health Counselor · Stockton, CA
NPI number
1417124231
Active
Practice location
1212 N California St
Stockton, CA 95202-1552
Mailing address
1149 N. California Street
Stockton, CA 95202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1417124231
Rashard O. Stallworth Sr.'s National Provider Identifier is 1417124231, issued on May 12, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Feb 19, 2021.