Stephen R Colestock Jr.
Stephen R Colestock Jr. is an Addiction (Substance Use Disorder) Counselor in Blythe, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
9826 18th AveBlythe, CA 92225-9229
Phone: (760) 922-8625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1750150058 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 27, 2023 |
| Last updated in NPPES | January 1, 2024 |
| Certification date | January 1, 2024 |
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Mr. Timothy Lawrence Barrett, CCAPPR1289870218
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David S Hernandez
9826 18th Ave, Blythe, CA 92225-9229 · (619) 321-9845