Juliet Acolatse
Psychologist in Stockton, CA. Organization (NPI-2).
NPI number1801445929
StatusActive
Last updated in NPPESMar 26, 2020
Details
- NPI
- 1801445929
- Entity type
- Organization (NPI-2)
- Legal business name
- Juliet Acolatse
- Organization subpart
- No
- Enumeration date
- Sep 11, 2019
- Certification date
- Mar 26, 2020
- Last updated
- Mar 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Jda Psychology Assessment & Services (Doing Business As)
Practice location
1201 N Sutter StStockton, CA 95202-1506
Phone 209-855-1006 · Fax 209-408-1160
Mailing address
1201 N Sutter StStockton, CA 95202-1506
Phone 209-855-1006 · Fax 209-408-1160
Authorized official
Juliet Acolatse
Manager
2098551006
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