Stephen R Colestock JR.
NPI #1750150058 in Blythe, California
Provider Information
- NPI Number
- 1750150058
- Entity Type
- Individual
- Name
- Stephen R Colestock JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Dec 27, 2023
- Last Updated
- Jan 1, 2024
Practice Location
- Address
- 9826 18TH AVE
- City
- Blythe
- State
- California
- ZIP Code
- 92225-9229
- Phone
- (760) 922-8625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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