Organization
SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Active
Other names
San Joaquin County-MH Services Lodi Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE VALENTINE LMFT (DIRECTOR OF BEHAVIORAL HEALTH)
(209) 468-8750
Entity
Organization
Contact information
Practice address
1209 W TOKAY STREET, SUITE 1, 3, 5, 7, 12, 14, AND 16, LODI, CA 95240-3845
(209) 468-8700
(209) 468-2399
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8778
(209) 468-2399
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3924
—
CA
Enumeration date
05/13/2007
Last updated
05/08/2024
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