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

Roxanne Omega Gorrell, SUDRC14155

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1467165761

Roxanne Omega Gorrell, SUDRC14155 is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Licensed in California. Registered with an NPI since 2023.

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 number1467165761
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC14155
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023

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