| Faith In Action Community Education Services | |
|
401 E Main St Stockton CA 95202-3032 | |
| (209) 649-9241 | |
| Not Available |
| Full Name | Faith In Action Community Education Services |
|---|---|
| Speciality | Counselor |
| Location | 401 E Main St, Stockton, California |
| Authorized Official Name and Position | Joshua Brown (CEO/OWNER) |
| Authorized Official Contact | 2096499241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith In Action Community Education Services 401 E Main St Stockton CA 95202-3032 Ph: (209) 870-0471 | Faith In Action Community Education Services 401 E Main St Stockton CA 95202-3032 Ph: (209) 649-9241 |
| NPI Number | 1669096426 |
|---|---|
| Provider Enumeration Date | 06/07/2020 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Medicare PECOS PAC ID | 4688089378 |
|---|---|
| Medicare Enrollment ID | O20241025003006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669096426 | NPI | - | NPPES |
| Provider Name | Joshua Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669062790 PECOS PAC ID: 2365858917 Enrollment ID: I20241025003226 |
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