Individual provider · Type 1 NPI

Stephen R. Colestock Jr.

Addiction (Substance Use Disorder) Counselor · Blythe, CA

NPI number 1750150058 Active

Practice location

9826 18th Ave
Blythe, CA 92225-9229

Call (760) 922-8625 Map

Mailing address

1100 N D St
San Bernardino, CA 92410-3524

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 1750150058

Stephen R. Colestock Jr.'s National Provider Identifier is 1750150058, issued on Dec 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Blythe, CA. The record was last updated on Jan 1, 2024.