MS. MARDA M MANFRE
NPI 1922120351
Counselor - Addiction (Substance Use Disorder) in Stockton, CA
Active since April 05, 2007
About Ms. Marda M Manfre NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARDA M MANFRE (NPI 1922120351) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since April 2007.
NPPES Registry Identity
NPI1922120351
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARDA M MANFRE
Location Address620 N AURORA ST STE 1Stockton, CA 95202-2276
Mailing Address3330 Riverton WayStockton, CA 95219-3136 · (209) 953-7412 · Fax (209) 468-8640
Phone(209) 468-3720
Fax(209) 468-8640
Sole ProprietorNo
Enumeration DateApril 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1922120351 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
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.
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Counselor (Addiction (Substance Use Disorder))
620 N AURORA ST STE 1
STOCKTON, CA 95202
STOCKTON, CA 95202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922120351, enumerated as an "individual" on April 05, 2007.
The provider is located at 620 N AURORA ST STE 1 STOCKTON, CA 95202 and the phone number is (209) 468-3720.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
