| Central Valley Therapeutic Alliance, Inc. | |
|
201 E Orangeburg Ave Ste F Modesto CA 95350-5355 | |
| (209) 408-0332 | |
| Not Available |
| Full Name | Central Valley Therapeutic Alliance, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 201 E Orangeburg Ave Ste F, Modesto, California |
| Authorized Official Name and Position | Alissa Berezay (MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 2094080332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Valley Therapeutic Alliance, Inc. 201 E Orangeburg Ave Ste F Modesto CA 95350-5355 Ph: (209) 408-0332 | Central Valley Therapeutic Alliance, Inc. 201 E Orangeburg Ave Ste F Modesto CA 95350-5355 Ph: (209) 408-0332 |
| NPI Number | 1629558903 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 12/31/2020 |
| Certification Date | 12/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629558903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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