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SERVICE FIRST OF NORTHERN CALIFORNIA NPI 1912122250


NPI Information

NPI: 1912122250
Provider Name: SERVICE FIRST OF NORTHERN CALIFORNIA
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
SERVICE FIRST OF NORTHERN CALIFORNIA
3422 WEST. HAMMER LANE SUITE A,B,C
STOCKTON, CA
ZIP 95219
Phone: (209) 888-5088
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SERVICE FIRST OF NORTHERN CALIFORNIA is an addiction (substance use disorder) counselor in Stockton, CA. SERVICE FIRST OF NORTHERN CALIFORNIA NPI is 1912122250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

SERVICE FIRST OF NORTHERN CALIFORNIA
3422 WEST. HAMMER LANE SUITE A,B,C
STOCKTON, CA
ZIP 95219
Phone: (209) 888-5088
Fax: (209) 451-1334

The provider's authorized official is Brenda Lee Shelton .
The authorized official title is Program Manager and has the following contact phone number (209) 762-3014.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 9/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)390017ANCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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