Individual
ALEXANDRIA MARIA CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 W HAMMER LN STE 8, STOCKTON, CA 95209-2900
(209) 444-8910
Mailing address
8225 MARINERS DR APT 171, STOCKTON, CA 95219-4572
(209) 406-7285
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
N7587133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N7587133
DRIVERS LISCENSE
CA
Enumeration date
05/19/2009
Last updated
05/19/2009
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