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NPI Code Detail

MEDICARE: DOLAPO ESAN

MEDICARE: DOLAPO ESAN
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
2373H00000XDay Training/Habilitation Specialist
3172V00000XCommunity Health Worker
4390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1649059619
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOLAPO ESAN
Provider Business Mailing Address
First Line : 1414 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1515
Country : US
Telephone Number : 209-468-4240
Fax Number :
Provider Business Practice Location Address
First Line : 1414 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1515
Country : US
Telephone Number : 209-468-4240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2023
Last Update Date : 01/12/2026

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1326103516 — AMANDA RENEE YOCHAM LMFT
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1851437735 — MRS. COURTNEY LEE FLORES
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1497887699 — DONNA CASSETTARI M.F.T.
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Directions to “ DOLAPO ESAN ” Practice Location

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