Individual provider · Type 1 NPI

Erica Pesaras-Datuin

Mental Health Counselor · Stockton, CA

NPI number 1982011664 Active

Practice location

2495 W March Ln, Suite 125
Stockton, CA 95207-8251

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1982011664

Erica Pesaras-Datuin's National Provider Identifier is 1982011664, issued on Jul 15, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jul 15, 2014.