Individual provider · Type 1 NPI
Lisa Vaccarezza
Addiction (Substance Use Disorder) Counselor · Stockton, CA
NPI number
1679715767
Active
Practice location
1947 N California St, Suite B
Stockton, CA 95204-6029
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 1679715767
Lisa Vaccarezza's National Provider Identifier is 1679715767, issued on Apr 3, 2009. 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 Apr 3, 2009.