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MR. THEODORE EDWARD ANDERSON IV
NPI 1184842833
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since April 20, 2007
1839 S EL DORADO ST, STOCKTON, CA 95206(209) 463-0872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Theodore Edward Anderson Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE EDWARD ANDERSON IV (NPI 1184842833) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1184842833
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. THEODORE EDWARD ANDERSON IV
Location Address1839 S EL DORADO STStockton, CA 95206-2025
Mailing Address1191 Bridgeton AveManteca, CA 95336-2938 · (209) 346-4034
Phone(209) 463-0872
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184842833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1839 S EL DORADO ST, Stockton, CA 95206
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYRUS YANOS FNP
Nurse Practitioner
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 466-4200
ANDREA CARRUTH
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
ARIELLE RAYANA HARRELL
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
CIERRA DENISE JONES
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
HUTCHISON PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 466-2439
AMANDA MARIE BENITEZ
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
DAISY MARIE GUZMAN
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 463-0872
CARMEN JOSEFINA ISABEL GOMEZ CORTEZ
Counselor (Addiction (Substance Use Disorder))
1839 S EL DORADO ST
STOCKTON, CA 95206
San Joaquin County (209) 466-4200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Anderson's NPI number?

The NPI number for Theodore Anderson is 1184842833. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Theodore Anderson located?

Theodore Anderson practices at 1839 S El Dorado St, Stockton, CA 95206. The listed phone number is (209) 463-0872.

What is Theodore Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theodore Anderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.