Individual
LUCIA YOLANDA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 E VINE ST, LODI, CA 95240-3179
(209) 623-8447
Mailing address
3250 JOSHUA TREE CIR, STOCKTON, CA 95209-3801
(209) 623-8447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15643
CA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
15643
CA
Other
Enumeration date
08/18/2021
Last updated
02/25/2026
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