Individual
ALICE SELLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8626 LOWER SACRAMENTO RD STE 41, STOCKTON, CA 95210-1835
(209) 478-2487
Mailing address
3360 PENELOPE DR, STOCKTON, CA 95212-3538
(408) 726-8843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PT33721
CA
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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