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ETHAN RICO, SUDRC, 14223
SUDRC, 14223
Addiction (Substance Use Disorder) Counselor
NPI: 1659089902Individual
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
39007BN(CA)
Contact & Hours
- Address
- 1981 CHEROKEE RD
STOCKTON, CA 95205 - Phone
- (209) 870-6500
Quick Facts
- NPI
- 1659089902
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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