| Youth For Christ Central Valley | |
|
1101 M St Modesto CA 95354-0755 | |
| (209) 522-9568 | |
| (209) 593-5808 |
| Full Name | Youth For Christ Central Valley |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1101 M St, Modesto, California |
| Authorized Official Name and Position | Kourtney Anne Kauffman (DIRECTOR) |
| Authorized Official Contact | 2095229568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth For Christ Central Valley 1101 M St Modesto CA 95354-0755 Ph: (209) 522-9568 | Youth For Christ Central Valley 1101 M St Modesto CA 95354-0755 Ph: (209) 522-9568 |
| NPI Number | 1891303731 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891303731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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