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Contact Information

LATEISHA ABERNATHY
333 N SAN JOAQUIN ST
STOCKTON, CA95202-2954
 Phone: 209-993-7663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for LATEISHA ABERNATHY · (Female)

NPI Number 1194656843
Status Active
Credentials
Entity Individual
Enumeration date 05/28/2026
Last updated 05/28/2026 - About 2 weeks ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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