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ELIZABETH PROVOST, RADT
RADT
Addiction (Substance Use Disorder) Counselor
NPI: 1851182117Individual
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
19037(CA)
Contact & Hours
- Address
- 3120 E ANITA ST
STOCKTON, CA 95205 - Phone
- (209) 415-0315
Quick Facts
- NPI
- 1851182117
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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