Individual
ANNE MICHELLE SIDLAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 938-0228
Mailing address
1105 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 938-0228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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