# VALLEY COMMUNITY COUSELING SERVICES

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

## Provider details

- **NPI number:** 1891189403
- **Authorized official:** PATRICIA P MADRID RASI (COUNSELOF)
- **Authorized official phone:** (209) 334-2126

## Contact information

- **Practice address:** 1300 W. LODI STE G-2, STOCKTON, CA 95240
- **Practice address phone:** (209) 334-2126
- **Practice address fax:** (209) 369-8406
- **Mailing address:** 1300 W LODI AVE STE G2, LODI, CA 95242-3037
- **Mailing address phone:** (209) 334-2126
- **Mailing address fax:** (209) 369-8406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/20/2015
- **Last updated:** 03/20/2015