National Provider Identifier
Ingrid Cervantes, SUDRC
Ingrid Cervantes, SUDRC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Stockton, CA and a listed phone number of (209) 468-8356.
Source: public NPPES record, last updated May 09, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1659017135
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 09, 2022
- Last Updated
- May 09, 2022
Practice Location
- 620 N Aurora St Ste 1
- Stockton, CA 95202-2276
Phone: (209) 468-8356
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Ingrid Cervantes is a provider associated with SUDRC in Stockton, California. Public profile sources with substantive details about her training, certifications, leadership roles, or prior practice history were not readily available, so this bio is limited to the confirmed local practice affiliation.
Full Record
- NPI
- 1659017135
- Entity Type
- Individual
- Last Name
- Cervantes
- First Name
- Ingrid
- Credential
- SUDRC
- Provider Other Last Name
- Cervantes
- Provider Other First Name
- Ingrid
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 620 N Aurora St Ste 1
- Mailing City
- Stockton
- Mailing State
- CA
- Mailing ZIP Code
- 95202-2276
- Mailing Country
- US
- Mailing Phone
- (209) 468-8356
- Practice Street Address
- 620 N Aurora St Ste 1
- Practice City
- Stockton
- Practice State
- CA
- Practice ZIP Code
- 95202-2276
- Practice Country
- US
- Practice Phone
- (209) 468-8356
- Enumeration Date
- May 09, 2022
- Last Updated
- May 09, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 09, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- 13268 (CA)