Individual provider · Type 1 NPI

Ingrid Cervantes, SUDRC

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1659017135 Active

Practice location

620 N Aurora St Ste 1
Stockton, CA 95202-2276

Call (209) 468-8356 Map

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 1659017135

Ingrid Cervantes, SUDRC's National Provider Identifier is 1659017135, issued on May 9, 2022. 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 May 9, 2022.