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Organization
PRACTICAL COUNSELING AND EDUCATIONAL SERVICES
Active
Organization
PRACTICAL COUNSELING AND EDUCATIONAL SERVICES
Active
Other names
Quail Lakes Community Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM DIESTLER LMFT (LMFT)
(209) 954-1311
Entity
Organization
Contact information
Practice address
1151 W ROBINHOOD DR STE C6, STOCKTON, CA 95207-5628
(209) 954-1311
Mailing address
1151 W ROBINHOOD DR STE C6, STOCKTON, CA 95207-5628
(209) 954-1311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LMFT50618
CA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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