ROBBEN STALLWORTH


Address: 312 Starboard Dr, Vallejo, CA 94590-4024
Phone: 5106806678

ROBBEN STALLWORTH (NPI# 1154776052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154776052
Entity Type Individual
Full Name ROBBEN STALLWORTH
Practice Address 312 Starboard Dr
Vallejo
CA 94590-4024
Practice Telephone 5106806678
Mailing Telephone 5106806678
Enumeration Date 2016-04-28
Last Update Date 2016-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 312 STARBOARD DR
City VALLEJO
State CA
Zip Code 94590-4024

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669072302 Imani Rivers Counselor 135 Gateway Ct, Vallejo, CA 94589-4339 2020-10-30
1942860267 Enkindled Minds Counseling and Wellness Counselor 2507 Springs Rd, Vallejo, CA 94591-5612 2019-06-18
1689164311 Karen Vanessa Alvarado Counselor 160 Glen Cove Marina Rd E, Vallejo, CA 94591-7290 2018-05-17
1093176273 Vincent Charles Counselor 236 Georgia St Ste 101, Vallejo, CA 94590-5962 2016-03-15
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1497132427 Sierra Voss Counselor 144 Harrier Ave, Vallejo, CA 94590-3710 2015-04-28
1376935452 Diana Harvey Counselor 1827 Alabama St, Vallejo, CA 94590-4739 2015-02-25
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1174959811 Chris William Cook Counselor 1243 Florida St, Vallejo, CA 94590-5540 2013-09-25
1407295454 Jamie Roderick Pascual Counselor 815 Tobin Dr, Vallejo, CA 94589-1676 2013-06-21
Find all providers in VALLEJO

Competitor

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City VALLEJO
Zip Code 94590

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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