Organization
SAN JOAQUIN COUNTY OFFICE OF EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICK WILLIAM FOUNTS ED.D. (SAN JOAQUIN COUNTY SUPERINTENDENT O)
(209) 468-4802
Entity
Organization
Contact information
Practice address
2707 TRANSWORLD DR, STOCKTON, CA 95206-3948
(209) 468-4960
(209) 468-4955
Mailing address
PO BOX 213030, 2901 ARCH-AIRPORT ROAD, STOCKTON, CA 95213-9030
(209) 468-4960
(209) 468-4955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
251300000X
Local Education Agency (LEA)
Primary
SS3910397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS3910397
—
CA
Enumeration date
01/26/2007
Last updated
08/08/2011
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