Individual
NICOLE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-9373
Mailing address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 616-2291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
09/26/2017
Last updated
06/16/2025
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