Ezequiel Alcantar
Peer Specialist in Stockton, CA. Individual provider (NPI-1).
NPI number1578097424
StatusActive
Last updated in NPPESJun 5, 2025
Details
- NPI
- 1578097424
- Entity type
- Individual (NPI-1)
- Name
- Ezequiel Alcantar
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2017
- Certification date
- Jun 5, 2025
- Last updated
- Jun 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
1414 N California StStockton, CA 95202-1515
Phone 209-468-2385
Mailing address
1414 N California StStockton, CA 95202-1515
Phone 209-468-2385
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All 68 Peer Specialist providers in Stockton · All 11,041 providers in Stockton
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