Individual provider · Type 1 NPI

Vanessa Basulto Macias

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1730067752 Active

Practice location

1839 S El Dorado St
Stockton, CA 95206-2025

Call (209) 463-0872 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 1730067752

Vanessa Basulto Macias's National Provider Identifier is 1730067752, issued on Aug 26, 2025. 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 Aug 26, 2025.