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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 39007BN (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.