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Organization
YOUTH FOR CHRIST CENTRAL VALLEY
Active
Organization
YOUTH FOR CHRIST CENTRAL VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOURTNEY ANNE KAUFFMAN LMFT (DIRECTOR)
(209) 522-9568
Entity
Organization
Contact information
Practice address
1101 M ST, MODESTO, CA 95354-0755
(209) 522-9568
(209) 593-5808
Mailing address
1101 M ST, MODESTO, CA 95354-0755
(209) 522-9568
(209) 593-5808
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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