Individual
ALEXANDRA LUCILA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 W CENTER ST, MANTECA, CA 95337-7300
(209) 507-1054
Mailing address
1945 GORDON VERNER CIR, STOCKTON, CA 95206-6121
(209) 507-1054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2019
Last updated
06/20/2023
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