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NPI Code Detail

MEDICARE: RILEY ROBERT STAMMERJOHAN

MEDICARE: RILEY ROBERT STAMMERJOHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1053289231
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY ROBERT STAMMERJOHAN
Provider Business Mailing Address
First Line : 11080 B AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-2618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11080 B AVE
Second Line :
City : AUBURN
State : CA
Zip : 95603-2618
Country : US
Telephone Number : 530-886-3470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2025
Last Update Date : 10/28/2025

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Directions to “ RILEY ROBERT STAMMERJOHAN ” Practice Location

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