| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 631 W F St, Oakdale, California |
| Authorized Official Name and Position | Gina Machado (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2095261476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2000 W Briggsmore Ave Suite I Modesto CA 95350-3839 Ph: (209) 526-1476 | 631 W F St Oakdale CA 95361-3734 Ph: (209) 847-0420 |
| NPI Number | 1043655772 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043655772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Wellspring Counseling Ministries, A Project Of Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W F St, Oakdale, CA 95361 Phone: 209-322-9801 Fax: 209-848-8825 | |
Jeanette Kay Lasater Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 W F St, Oakdale, CA 95361 Phone: 209-288-2682 Fax: 209-288-2682 | |