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

Elodia Maria Ybanez, SUDRC11788

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1114606449

Elodia Maria Ybanez, SUDRC11788 is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1981 Cherokee Rd
Stockton, CA 95205-2720
Phone: (209) 870-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 39007BN (CA)

Record details

NPI number1114606449
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC11788
Sole proprietorYes
NPI enumeratedJuly 13, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

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