Chemical Dependency Counseling Center

LBN: San Joaquin County Behavioral Heatlh Services
Chemical Dependency Counseling Center is an health care organization with primary practice located at 620 N Aurora St Ste 3 , Stockton CA 95202-2276. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. San Joaquin County Behavioral Heatlh Services can be contacted via phone (209) 468-3720, or through Valentine, Genevieve via phone (209) 468-8750.

Contact Information

Primary practice address
620 N Aurora St Ste 3 Stockton CA 95202-2276
Fax: (209) 468-8640
Website:
Authorized official contact:
Name: Valentine, Genevieve LMFT

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 390002DN California

Profile Details

NPI number 1902028699
LBN Legal business name San Joaquin County Behavioral Heatlh Services
DBA Doing business as Chemical Dependency Counseling Center
Authorized official Valentine, Genevieve LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated May 3rd, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902028699 NPPES
California MEDICAID 393968

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