RACHELLE DIANE WILSON


Address: 2733 N Sutter St, Stockton, CA 95204-4548
Phone: 2098083084

RACHELLE DIANE WILSON (NPI# 1184105462) 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) 1184105462
Entity Type Individual
Full Name RACHELLE DIANE WILSON
Practice Address 2733 N Sutter St
Stockton
CA 95204-4548
Practice Telephone 2098083084
Mailing Telephone 2098083084
Enumeration Date 2018-08-24
Last Update Date 2018-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 2733 N SUTTER ST
City STOCKTON
State CA
Zip Code 95204-4548

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740893155 Tracey Black Counselor 130 W Flora St, Stockton, CA 95202-1636 2020-08-25
1699305508 Juan Robles Counselor 1947 N California St # 95204, Stockton, CA 95204-6029 2020-01-20
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1821648353 Kaye Lynn Scott-roy Counselor 285 H Rd, Stockton, KS 67669-8889 2019-09-17
1760049043 Jay Frank Williams Counselor 1105 N El Dorado St, Stockton, CA 95202-1305 2019-05-22
1568943835 Heather Lynn Rogers Counselor 3990 Black Butte Cir, Stockton, CA 95209-3500 2018-08-24
1235631722 Parker Yang Counselor 1111 N. El Dorado St, Stockton, CA 95202 2018-03-01
1487162087 Linda Soun Counselor 1111 N. El Dorado Street, Stockton, CA 95202 2018-01-17
1760995781 Dana Lamont Harris Counselor 2833 Buckner Ct, Stockton, CA 95207-2302 2017-11-13
1023520590 Derek Michael Sauceda Counselor 1222 Monaco Ct Ste 28, Stockton, CA 95207-6742 2017-10-24
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Competitor

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City STOCKTON
Zip Code 95204

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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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