| A Nd T Hope 4 Change | |
|
1101 Standiford Ave Modesto CA 95350-0982 | |
| (209) 579-3301 | |
| Not Available |
| Full Name | A Nd T Hope 4 Change |
|---|---|
| Speciality | Psychologist |
| Location | 1101 Standiford Ave, Modesto, California |
| Authorized Official Name and Position | Bianca Agassi (DIRECTOR/ PRESIDENT) |
| Authorized Official Contact | 2097180660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Nd T Hope 4 Change 1101 Standiford Ave Ste B6 Modesto CA 95350-0981 Ph: (209) 718-0660 | A Nd T Hope 4 Change 1101 Standiford Ave Modesto CA 95350-0982 Ph: (209) 579-3301 |
| NPI Number | 1972138386 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972138386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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