Individual provider · Type 1 NPI

Ethan McArthur Rico, SUDRC, 14223

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1659089902 Active

Practice location

1981 Cherokee Rd
Stockton, CA 95205-2720

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X39007BN (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659089902

Ethan McArthur Rico, SUDRC, 14223's National Provider Identifier is 1659089902, issued on Nov 7, 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 Nov 7, 2022.