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Organization
THE DODAAW RANCH
Active
Organization
THE DODAAW RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY HANNAH DYANN MILLER MSW, ACSW, CADAC-CAS (EXECUTIVE DIRECTOR)
(209) 568-7544
Entity
Organization
Contact information
Practice address
2404 COOK AVENUE, MODESTO, CA 95358
(209) 567-2455
Mailing address
2404 COOK AVENUE, MODESTO, CA 95358
(209) 567-2455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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