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Individual

CHRISTOPHER STANWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDCCIII-CS

Contact information

Practice address
3990 BRANCH CENTER RD, SACRAMENTO, CA 95827-3809
(916) 308-1054
Mailing address
3434 MARCONI AVE, SACRAMENTO, CA 95821-6242
(916) 308-1054

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6077
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6077
CADTP
CA
Enumeration date
08/07/2017
Last updated
07/23/2025
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