Individual provider · Type 1 NPI
Stacey Marine Gershon
Addiction (Substance Use Disorder) Counselor · Sacramento, CA
NPI number
1598358129
Active
Practice location
Wellspace Health 1820 J St, Wellspace Health 4343 Williamsbourgh Dr.
Sacramento, CA 95811
Mailing address
5113 Connecticut Dr Apt 3
Sacramento, CA 95841-3910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1598358129
Stacey Marine Gershon's National Provider Identifier is 1598358129, issued on Feb 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Feb 15, 2021.