Individual provider · Type 1 NPI

Fernando Octavio De Alba

Mental Health Counselor · Stockton, CA

NPI number 1962068841 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Mailing address

2495 W March Ln
Stockton, CA 95207-8251

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1962068841

Fernando Octavio De Alba's National Provider Identifier is 1962068841, issued on May 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Feb 23, 2021.