| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 918 15th St, Modesto, California |
| Authorized Official Name and Position | Nik Anderson Young (PRESIDENT/CEO) |
| Authorized Official Contact | 2097023828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
918 15th St Modesto CA 95354-1115 Ph: (209) 727-2646 | 918 15th St Modesto CA 95354-1115 Ph: (209) 727-2646 |
| NPI Number | 1518594894 |
|---|---|
| Provider Enumeration Date | 03/25/2020 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518594894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Las Vegas St, Modesto, CA 95358 Phone: 209-576-4200 Fax: 209-384-3966 | |