Individual
KOM CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR BLDG F, MODESTO, CA 95350-6131
(209) 525-6150
(209) 525-4493
Mailing address
800 SCENIC DR BLDG E, MODESTO, CA 95350-6131
(209) 525-6150
(209) 525-6253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
05/13/2025
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