Individual
ADRIAN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 S HAM LN STE A&B, LODI, CA 95242-3059
(209) 224-8940
Mailing address
541 S HAM LN STE A&B, LODI, CA 95242-3059
(209) 224-8940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22004
CA
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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