# STOCKTON FAMILY THERAPY, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134755804
- **Authorized official:** MR. GARLAND DALE SMITH LMFT (PRESIDENT)
- **Authorized official phone:** (916) 541-0313

## Contact information

- **Practice address:** 20 N SUTTER ST STE 400, STOCKTON, CA 95202-2911
- **Practice address phone:** (209) 513-1908
- **Mailing address:** 20 N SUTTER ST STE 400, STOCKTON, CA 95202-2911
- **Mailing address phone:** (209) 513-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2020
- **Last updated:** 03/13/2020