Individual
ALEJANDRA RASCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 E VINE ST, LODI, CA 95240-3179
(209) 331-7000
Mailing address
1305 E VINE ST, LODI, CA 95240-3179
(209) 331-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14475-RAC
CA
101YM0800X
Mental Health Counselor
Primary
13049
CA
Other
Enumeration date
01/05/2021
Last updated
04/11/2024
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