Individual
ANNACRISTINA VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 PONCE DE LEON AVE, STOCKTON, CA 95209-2624
(209) 292-4885
Mailing address
1340 PONCE DE LEON AVE, STOCKTON, CA 95209-2624
(209) 292-4885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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