Individual provider · Type 1 NPI
Paul Pelletier
Addiction (Substance Use Disorder) Counselor · Stockton, CA
NPI number
1578976569
Active
Practice location
1947 N California St Ste B
Stockton, CA 95204-6029
Fax (209) 463-1803
Mailing address
9703 Nantucket Dr
Stockton, CA 95209-1441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1578976569
Paul Pelletier's National Provider Identifier is 1578976569, issued on Jun 6, 2014. 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 Jun 6, 2014.