Individual
INES PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-8686
Mailing address
1414 N CALIFORNIA ST, STOCKTON, CA 95202-1515
(209) 468-8686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2022
Last updated
04/20/2026
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