Christopher Stanwick, SUDCCIII-CS
Counselor, Addiction (Substance Use Disorder) in Sacramento, CA. Individual provider (NPI-1).
Details
- NPI
- 1902321334
- Entity type
- Individual (NPI-1)
- Name
- Christopher Stanwick
- Credential
- SUDCCIII-CS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2017
- Certification date
- Jul 14, 2025
- Last updated
- Jul 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 6077 | CA | Yes |
Practice location
3990 Branch Center RdSacramento, CA 95827-3809
Phone 916-308-1054
Mailing address
3434 Marconi AveSacramento, CA 95821-6242
Phone 916-308-1054
Other practice locations
Sacramento, CA 95821-6242
Phone 916-308-1054 · Fax 916-415-2818
Mather, CA 95655
Phone 916-308-1054
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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