| Latasha Mack, | |
|
8026 Lorraine Ave Ste 201, Stockton, CA 95210-4224 | |
| (209) 644-6328 | |
| (209) 644-6308 |
| Full Name | Latasha Mack |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8026 Lorraine Ave Ste 201, Stockton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033385711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Latasha Mack, 8026 Lorraine Ave Ste 201, Stockton, CA 95210-4224 Ph: (209) 644-6328 | Latasha Mack, 8026 Lorraine Ave Ste 201, Stockton, CA 95210-4224 Ph: (209) 644-6328 |
Van Thi Le, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4422 N Pershing Ave Ste D5, Stockton, CA 95207 Phone: 209-953-8843 Fax: 209-953-8478 | |
Mariaelena Garcia Vasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1149 N El Dorado St, Stockton, CA 95202 Phone: 209-468-2335 | |
Ms. Maria Rodriguez, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Suite 125, Stockton, CA 95207 Phone: 209-465-1080 | |
Shadeed Hasan Ii, Counselor Medicare: Medicare Enrolled Practice Location: 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207 Phone: 877-418-2978 | |
Priscilla Ellis-white, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8626 Lower Sacramento Rd, Suite #41, Stockton, CA 95210 Phone: 209-478-2487 Fax: 209-478-1476 | |
Mr. Kenneth Ray Cocio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8660 | |
April Cobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 W. March Lane Suite 125, Stockton, CA 95207 Phone: 209-465-1080 |