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Individual

JOSEPH DANIEL ISQUIERDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
620 N AURORA ST. SUITE # 6, STOCKTON, CA 95202
(209) 616-7518
(209) 463-9611
Mailing address
1212 N. CALIFORNIA STREET, STOCKTON, CA 95202
(209) 463-0870
(209) 468-9611

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
03/16/2015
Last updated
03/24/2025
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