Individual
STEPHANIE ALEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8686
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
PT37033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT37033
PT LICENSE
CA
Enumeration date
03/24/2014
Last updated
01/03/2024
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