Mary Magdalene Community Services Agency
NPI #1093418048 in Stockton, California
Provider Information
- NPI Number
- 1093418048
- Entity Type
- Organization
- Organization Name
- Mary Magdalene Community Services Agency
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 27, 2023
- Last Updated
- Sep 12, 2023
Practice Location
- Address
- 620 N AURORA ST STE 7
- City
- Stockton
- State
- California
- ZIP Code
- 95202-2276
- Phone
- (209) 888-4519
Authorized Official
- Name
- MRS. GENEVA HAYNES
- Title
- EXECUTIVE DIRECTOR
- Phone
- (209) 888-4519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Case Management — Case Management |
| Counselor - Mental Health — Mental Health |
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