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

Stacey Edwina Hendricks

Individual provider Counselor · NPI 1235878190

Stacey Edwina Hendricks is a Counselor in Vallejo, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

908 Tuolumne St
Vallejo, CA 94590-4641
Phone: (707) 648-8121
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Counselor Taxonomy 101Y00000X
Adult Companion Taxonomy 372600000X

Record details

NPI number1235878190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address908 Tuolumne St, Vallejo, CA 94590-4641

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