Individual provider · Type 1 NPI

Evelyn Terra

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1437404068 Active

Practice location

8626 Lower Sacramento Rd, Suite 41
Stockton, CA 95210-1835

Fax (209) 478-1476

Mailing address

15574 5th St
Lathrop, CA 95330-9725

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 1437404068

Evelyn Terra's National Provider Identifier is 1437404068, issued on Jul 19, 2012. 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 19, 2012.