Organization
VALLEY COMMUNITY COUSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA P MADRID RASI (COUNSELOF)
(209) 334-2126
Entity
Organization
Contact information
Practice address
1300 W. LODI STE G-2, STOCKTON, CA 95240
(209) 334-2126
(209) 369-8406
Mailing address
1300 W LODI AVE STE G2, LODI, CA 95242-3037
(209) 334-2126
(209) 369-8406
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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