Individual provider · Type 1 NPI

Anita Marie Ydrogo

Prevention Professional · Stockton, CA

NPI number 1871423293 Active

Practice location

201 N Stanislaus St
Stockton, CA 95202-2949

Mailing address

6109 Mustang Pl
Stockton, CA 95210-3673

Specialties and licenses

TaxonomyCodeLicense
Prevention Professional Primary 405300000X70004352735 (CA)

Prevention Professional: Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship s…

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About NPI 1871423293

Anita Marie Ydrogo's National Provider Identifier is 1871423293, issued on May 19, 2026. The primary taxonomy on file is Prevention Professional (405300000X), and the practice location is in Stockton, CA. The record was last updated on May 19, 2026.