Individual
ANDREA CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1839 S EL DORADO ST, STOCKTON, CA 95206-2025
(209) 463-0872
(209) 466-4446
Mailing address
1839 S EL DORADO ST, STOCKTON, CA 95206-2025
(209) 463-0872
(209) 466-4446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
04/20/2026
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