Individual provider · Type 1 NPI

Shanae Stiles, AA PSYCHOLOGY

Addiction (Substance Use Disorder) Counselor · Lodi, CA

NPI number 1437002664 Active

Practice location

541 S Ham Ln Ste A
Lodi, CA 95242-3530

Call (200) 685-1999 Map

Mailing address

541 S Ham Ln Ste A&b
Lodi, CA 95242-3059

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24768 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1437002664

Shanae Stiles, AA PSYCHOLOGY's National Provider Identifier is 1437002664, issued on Feb 17, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lodi, CA. The record was last updated on Feb 20, 2026.