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NPI Code Detail

MEDICARE: MRS. COURTNEY LEE FLORES

MEDICARE:  MRS. COURTNEY LEE FLORES
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
11041C0700XClinical Social WorkerLCSW29811CA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1851437735
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COURTNEY LEE FLORES
Provider Business Mailing Address
First Line : 1414 N CALIFORNIA ST FL 2
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1515
Country : US
Telephone Number : 209-468-3756
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 : 209-468-2385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 12/07/2023

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Directions to “ MRS. COURTNEY LEE FLORES ” Practice Location

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