Individual provider · Type 1 NPI
Tag M. McFadden
Mental Health Counselor · Stockton, CA
NPI number
1962775528
Active
Practice location
1212 N California St
Stockton, CA 95202-1552
Mailing address
1615 S Church St
Lodi, CA 95240-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1962775528
Tag M. McFadden's National Provider Identifier is 1962775528, issued on Feb 13, 2012. 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 13, 2012.