SearchCaliforniaAddiction (Substance Use Disorder) Counselor

Kellie Pate

NPI 1609248368 · on the registry since 2015

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 468-0103
Organisation at this address
Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
840

Registry record

Primary taxonomy
Addiction (Substance Use Disorder) Counselor
101YA0400X
Also registered as
Day Training/Habilitation Specialist
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California