JESSICA LOUISE ABRAHAMSON (NPI# 1699276253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699276253 |
| Entity Type | Individual |
| Full Name | JESSICA LOUISE ABRAHAMSON |
| Practice Address |
1947 N California St Ste B&c Stockton CA 95204-6029 |
| Mailing Address |
1717 Rivara Rd Stockton CA 95207-1642 |
| Mailing Telephone | 2094064560 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1947 N CALIFORNIA ST STE B&C |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487107645 | Chester Eugene Harrison Jr. | Counselor | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2016-07-24 |
| 1508403452 | Constance Michelle Washington-greathouse | Counselor | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2019-12-10 |
| 1013568625 | Itzelt Diana Rodriguez | Counselor | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2019-09-25 |
| 1972150514 | Tammi Suzanne De Long | Counselor | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2019-08-19 |
| 1871149757 | Jacqueline Jasmin Cano | Licensed Vocational Nurse | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2019-08-15 |
| 1811558794 | Iris Marisol Ruelas | Counselor | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2019-06-22 |
| 1780240440 | Alvin V Gaoat | Licensed Vocational Nurse | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2019-05-17 |
| 1093370173 | Marina Isabelle Serrano | Counselor | 1947 N California St Ste B&c, Stockton, CA 95204 | 2019-05-04 |
| 1386116598 | Raymond James Lucas | Nurse's Aide | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2018-12-28 |
| 1255808507 | Crystal Ochoa August | Licensed Vocational Nurse | 1947 N California St Ste B&c, Stockton, CA 95204-6029 | 2018-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| 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 |
| 1184105462 | Rachelle Diane Wilson | Counselor | 2733 N Sutter St, Stockton, CA 95204-4548 | 2018-08-24 |
| 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 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on JESSICA LOUISE ABRAHAMSON.
| 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.