Elizabeth Perez
Counselor, Addiction (Substance Use Disorder) in Stockton, CA. Individual provider (NPI-1).
NPI number1164082277
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1164082277
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Perez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2019
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 13213 | CA | Yes |
Practice location
1982 S Drake AveStockton, CA 95215-7449
Phone 209-817-1287
Mailing address
1982 S Drake AveStockton, CA 95215-7449
Phone 209-817-1287
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