Derionna Hodges | Stockton, CA • PECOS Search

Derionna Hodges

Counselor

Behavioral Health & Social Service Providers

1212 N California St, Stockton, CA 95202-1552

PECOS Enrollment

Based on the most recent information from CMS, provider Derionna Hodges does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1467205039
Provider Type
Individual
Full Name
Hodges, Derionna
Credential
NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/11/2024
Last Updated
5/30/2025

Contact Information

Practice Location

1212 N California St, Stockton, CA 95202-1552

Unlisted Fax

Mailing Location

561 Chagall Ln, Stockton, CA 95209-4629

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License APCC19031 California