Individual
MRS. ALIZA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1947 N CALIFORNIA ST, STOCKTON, CA 95204-6029
(209) 463-0870
Mailing address
1947 N CALIFORNIA ST, STOCKTON, CA 95204-6029
(209) 403-9153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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