| Vance Marriage And Family Therapy, Inc. | |
|
1545 Saint Marks Plz Ste 5 Stockton CA 95207-6411 | |
| (209) 598-1630 | |
| (209) 955-1050 |
| Full Name | Vance Marriage And Family Therapy, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1545 Saint Marks Plz Ste 5, Stockton, California |
| Authorized Official Name and Position | Carole Vance (CEO) |
| Authorized Official Contact | 2095981630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vance Marriage And Family Therapy, Inc. 1545 Saint Marks Plz Ste 5 Stockton CA 95207-6411 Ph: (209) 598-1630 | Vance Marriage And Family Therapy, Inc. 1545 Saint Marks Plz Ste 5 Stockton CA 95207-6411 Ph: (209) 598-1630 |
| NPI Number | 1144716549 |
|---|---|
| Provider Enumeration Date | 07/09/2018 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144716549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 43158 (California) | Primary |
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