Individual
ANNA YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1130 6TH ST, MODESTO, CA 95354-2203
(209) 491-5550
(209) 491-5468
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW75327
CA
Other
Enumeration date
04/05/2012
Last updated
01/13/2017
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