Carruth, Andrea

Carruth, Andrea is an individual health care provider with primary practice located at 1839 S El Dorado St , Stockton CA 95206-2025. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Carruth, Andrea can be contacted via phone (209) 463-0872.

Contact Information

Primary practice address
1839 S El Dorado St Stockton CA 95206-2025
Phone: (209) 463-0872
Fax: (209) 466-4446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1093050718
LBN Legal business name Carruth, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2012
Last updated Apr 20th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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