Great Valley Academy | |
3200 Tully Rd Modesto CA 95350-0811 | |
(209) 876-9446 | |
Not Available |
Full Name | Great Valley Academy |
---|---|
Speciality | Counselor - School |
Location | 3200 Tully Rd, Modesto, California |
Authorized Official Name and Position | Thomas Anderson (SUPERINTENDENT/CEO) |
Authorized Official Contact | 2098769446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Valley Academy 3200 Tully Rd Modesto CA 95350-0811 Ph: (209) 876-9446 | Great Valley Academy 3200 Tully Rd Modesto CA 95350-0811 Ph: (209) 876-9446 |
NPI Number | 1619660800 |
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Provider Enumeration Date | 06/01/2023 |
Last Update Date | 06/01/2023 |
Certification Date | 06/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619660800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YS0200X | Counselor - School | (* (Not Available)) | Primary |
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