Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDNEY GENE STEPHENS JR., SUDRC
Active Sole ProprietorSIDNEY GENE STEPHENS JR., SUDRC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CASTRO VALLEY, California. NPI 1255129243 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CASTRO VALLEY, CA
Registration Details
- NPI Number
- 1255129243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2025 (1.2998443260534 yrs)
- Last Updated
- Apr 29, 2025
- License
-
21270 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2035 FAIRMONT DRCASTRO VALLEY, CA, 945781088Browse CA providers · Browse ZIP 94578
- Phone
- 5103467836
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CASTRO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MS. PEGGY ANN BINNS | — | 1578859922 |
| JOSE RINCON JR. | — | 1982021051 |
| FRANCISCO VARGAS | — | 1497238802 |
| JAELENE ESPINOSA | — | 1508597568 |
| TIFFANY NICOLE WILDER-HOLDEN | SUDRC | 1255034468 |
| DAVID WAYNE ROGERS JR. | — | 1295627396 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.