Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

My Personal Care

Organization Addiction (Substance Use Disorder) Counselor · NPI 1023850435

My Personal Care is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
9
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Practice location Address checks out

930 Coach St
Stockton, CA 95209-1438
Phone: (209) 477-4048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Counseling Psychologist Taxonomy 103TC1900X
Peer Specialist Taxonomy 175T00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Homemaker Taxonomy 376J00000X

Record details

NPI number1023850435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norencio Bungalon — President · (916) 203-9845
Other names My Personal Care Recovery; My Personal Care Services; Thcc Personal Care
NPI enumeratedJune 7, 2024
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address6333 Pacific Ave Unit 555, Stockton, CA 95207-3713

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