Individual provider · Type 1 NPI

Lawrence Von Lo, REG COUNSELOR

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1770122384 Active

Practice location

1111 N El Dorado St
Stockton, CA 95202-1305

Call (209) 938-0228 Map

Fax (209) 938-0281

Mailing address

8828 Kelley Dr
Stockton, CA 95209-2124

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10180 (CA)

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

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About NPI 1770122384

Lawrence Von Lo, REG COUNSELOR's National Provider Identifier is 1770122384, issued on Dec 30, 2019. 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 Dec 30, 2019.