ELIZABETH ROSE PROVOST RADT
NPI 1851182117
Counselor - Addiction (Substance Use Disorder) in Stockton, CA
About Elizabeth Rose Provost Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ROSE PROVOST RADT (NPI 1851182117) is an individual addiction (substance use disorder) provider in Stockton, California, licensed in California (19037) and active in the NPI registry since May 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKTON, CA 95205
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 Elizabeth Provost's NPI number?
The NPI number for Elizabeth Provost is 1851182117. It was assigned to this individual provider in the NPPES registry on May 15, 2025.
Where is Elizabeth Provost located?
Elizabeth Provost practices at 3120 E Anita St, Stockton, CA 95205. The listed phone number is (209) 415-0315.
What is Elizabeth Provost'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 Elizabeth Provost was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
