Miss LATEISHA ABERNATHY
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1194656843- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 333 N SAN JOAQUIN ST, STOCKTON, CA, 952022954
- Phone
- (209) 993-7663
Specialties & Taxonomies
Counselor, Addiction (Substance Use Disorder)
Primary License: CA