Individual
CAROLYN SUZANNE GILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS II
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8700
Mailing address
2220 DOUGLAS RD, STOCKTON, CA 95207-3331
(209) 468-8700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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