Individual
MRS. AISSA LEA GARIN X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
441 S HAM LN STE A, LODI, CA 95242-3525
(209) 224-8940
Mailing address
2418 CHRISTINA AVE, STOCKTON, CA 95204-1506
(209) 969-6546
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
106H00000X
Marriage & Family Therapist
Primary
110482
CA
Other
Enumeration date
12/17/2018
Last updated
04/04/2019
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