Individual provider · Type 1 NPI
Kellie Marie Pate
Addiction (Substance Use Disorder) Counselor · Stockton, CA
NPI number
1609248368
Active
Practice location
1212 N California St
Stockton, CA 95202-1552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CO56670518 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO56670518 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609248368
Kellie Marie Pate's National Provider Identifier is 1609248368, issued on Oct 21, 2015. 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 2, 2025.