Organization
JULIET ACOLATSE
Active
Other names
JDA Psychology Assessment & Services
Organization subpart
No
Provider details
NPI number
Authorized official
JULIET ACOLATSE PH.D. (MANAGER)
(209) 855-1006
Entity
Organization
Contact information
Practice address
1201 N SUTTER ST, STOCKTON, CA 95202-1506
(209) 855-1006
(209) 408-1160
Mailing address
1201 N SUTTER ST, STOCKTON, CA 95202-1506
(209) 855-1006
(209) 408-1160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/11/2019
Last updated
03/26/2020
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