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1100 Kansas Ave Ste B Modesto CA 95351-1596 | |
| (209) 558-8884 | |
| (209) 558-8888 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1100 Kansas Ave Ste B, Modesto, California |
| Authorized Official Name and Position | Hermille Nmn Catzalco (MENTAL HEALTH CLINICIAN I) |
| Authorized Official Contact | 2095588884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
107 Greenwich Ln. Modesto CA 95351 Ph: (209) 558-8884 | 1100 Kansas Ave Ste B Modesto CA 95351-1596 Ph: (209) 558-8884 |
| NPI Number | 1013049444 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013049444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 44780 (California) | 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 | |