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Organization
SERVICE FIRST OF NORTHERN CALIFORNIA
Active
Organization
SERVICE FIRST OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LEE SHELTON SUDCC II (PROGRAM MANAGER)
(209) 762-3014
Entity
Organization
Contact information
Practice address
SERVICE FIRST OF NORTHERN CALIFORNIA, 3422 WEST. HAMMER LANE SUITE A,B,C, STOCKTON, CA 95219
(209) 888-5088
(209) 451-1334
Mailing address
102 W BIANCHI RD, STOCKTON, CA 95207-7132
(209) 644-6320
(209) 644-6336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
390017AN
CA
Other
Enumeration date
04/13/2007
Last updated
09/01/2022
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