DEADRA DENISE WOOLBRIGHT (NPI# 1659890457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659890457 |
| Entity Type | Individual |
| Full Name | DEADRA DENISE WOOLBRIGHT |
| Credential | MFT |
| Practice Address |
2254 E Church St Stockton CA 95205-6407 |
| Mailing Address |
Po Box 5762 Stockton CA 95205-0762 |
| Practice Telephone | 2092480535 |
| Mailing Telephone | 2092480535 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| Street Address |
2254 E CHURCH ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95205-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801081 | Telegenx, LLC | Durable Medical Equipment & Medical Supplies | 127 S Locust St, Stockton, CA 95205 | 2020-08-12 |
| 1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1467820019 | San Joaquin County Bhs | Non-emergency Medical Transport (VAN) | 1149 N. El Dorado St., Stockton, CA 95205 | 2015-09-11 |
| 1346617651 | Kevin G.y. Tom | Pharmacist | 1528 Fremont St, Stockton, CA 95205 | 2015-08-24 |
| 1578749149 | Peebles Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 North Broadway Ave, Stockton, CA 95205 | 2008-01-14 |
| 1780874149 | Mv Transportation | Non-emergency Medical Transport (VAN) | 1250 South Wilson Way, Mv Transportation Ste #a1, Stockton, CA 95205 | 2007-07-31 |
| 1467513549 | Stockton Pharmacy | Pharmacy | 3330 E Main St, Stockton, CA 95205 | 2006-12-13 |
| 1174155170 | Phillip Brandon Long | Pharmacist | 2040 E Mariposa Rd, Stockton, CA 95205 | 2020-02-07 |
| 1558904136 | Angela Moss Burns | Counselor | 430 N Pilgrim St, Stockton, CA 95205 | 2019-10-25 |
| Find all providers in zip 95205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968453 | Therapeutic Renovations | Counselor | 3445 Timberlane Dr, Stockton, CA 95209-5123 | 2020-10-04 |
| 1598383648 | Charalette Raychell Alston | Counselor | 4531 Borgia Ct, Stockton, CA 95207-6540 | 2020-07-06 |
| 1053932665 | Dionne Jimenez | Counselor | 2423 W March Ln, Stockton, CA 95207-8250 | 2020-05-05 |
| 1902446438 | Alen Navarro | Counselor | 300 N Gertrude Ave, Stockton, CA 95215-4820 | 2020-01-13 |
| 1366003444 | Louise Francoise Braden | Counselor | 2423 W March Ln Ste 200, Stockton, CA 95207-8250 | 2019-06-27 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1144721416 | Panhia Lo | Counselor | 4545 Georgetown Pl Ste A3, Stockton, CA 95207-6228 | 2018-02-22 |
| 1346759719 | Latisha Patrice Thompson | Counselor | 3324 Anne St, Stockton, CA 95206-3835 | 2017-09-28 |
| 1215446992 | Kristi J Gavello | Counselor | 2495 W March Lane #125, Stockton, CA 95207 | 2017-09-25 |
| 1184142937 | Christina Noel Thrower | Counselor | 2495 W March Lane, Stockton, CA 95207 | 2017-08-31 |
| Find all providers in STOCKTON | ||||
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| 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.