Individual
ANTHONY PALACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4545 GEORGETOWN PL STE A3, STOCKTON, CA 95207-6228
(209) 955-1139
Mailing address
4545 GEORGETOWN PL STE A3, STOCKTON, CA 95207-6228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
91385
CA
1041C0700X
Clinical Social Worker
Primary
91385
CA
Other
Enumeration date
01/12/2022
Last updated
01/03/2024
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