Individual provider · Type 1 NPI

Iris Marisol Ruelas

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1811558794 Active

Practice location

1947 N California St Ste B&c
Stockton, CA 95204-6029

Mailing address

222 E Worth St
Stockton, CA 95206-1326

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 1811558794

Iris Marisol Ruelas's National Provider Identifier is 1811558794, issued on Jun 22, 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 Jun 22, 2019.