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INGRID CERVANTES SUDRC
NPI 1659017135
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since May 09, 2022
620 N AURORA ST STE 1, STOCKTON, CA 95202(209) 468-8356 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ingrid Cervantes Sudrc NPPES

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

INGRID CERVANTES SUDRC (NPI 1659017135) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1659017135
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameINGRID CERVANTESCredential: SUDRC
Location Address620 N AURORA ST STE 1Stockton, CA 95202-2276
Mailing Address620 N Aurora St Ste 1Stockton, CA 95202-2276 · (209) 468-8356
Phone(209) 468-8356
Sole ProprietorNo
Enumeration DateMay 9, 2022
NPPES CertifiedMay 9, 2022
✔ NPI 1659017135 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
620 N AURORA ST STE 1, Stockton, CA 95202
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Other Names 1

Professional Name (2)Ingrid Cervantes

Other Identifiers 1

Medicaid13268CA

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.

BRETT KELEHER
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ADAM HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
ERRIN LOEURN
Day Training/Habilitation Specialist
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-9600
MRS. SHELLY D LAACK
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
STEVI PERRICHON
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-3720
MR. JOSEPH CORDOVA
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-2332
DEMARCO MIXON
Day Training/Habilitation Specialist
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 468-9370
MRS. TINA JEANETTE VILLAGOMEZ
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
San Joaquin County (209) 953-7302

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 Ingrid Cervantes's NPI number?

The NPI number for Ingrid Cervantes is 1659017135. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Ingrid Cervantes located?

Ingrid Cervantes practices at 620 N Aurora St Ste 1, Stockton, CA 95202. The listed phone number is (209) 468-8356.

What is Ingrid Cervantes'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 Ingrid Cervantes was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.