Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE R KOUDELKA
ActiveJACKIE R KOUDELKA is a Counselor healthcare provider located in STOCKTON, California. NPI 1962904821 is currently active in the NPPES registry. Verify at CMS.
Counselor · STOCKTON, CA
Registration Details
- NPI Number
- 1962904821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 6, 2018 (8.4356635805749 yrs)
- Last Updated
- Mar 6, 2018
Practice Information
- Address
-
6 S EL DORADO ST STE 510STOCKTON, CA, 952022804Browse CA providers · Browse ZIP 95202
- Phone
- 2096231411
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. NIRAV MAHENDRA PATEL | — | 1346318706 |
| MS. AMY LYN BURKS | — | 1215073598 |
| MS. JANE C RIDDLE | — | 1952420663 |
| SANII NELSON | — | 1477672400 |
| MS. HOLLY AYN WHITE | — | 1053432781 |
| MR. BERNARDO DIAZ MALQUED | BA | 1487775672 |
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.