Individual
CATHY LYNN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1116 ALICE ST, MODESTO, CA 95350-5905
(209) 578-3132
(209) 578-3498
Mailing address
1100 KANSAS AVE, MODESTO, CA 95351-1596
(209) 579-1151
(209) 579-9605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/23/2019
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