Individual
BAO YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MCHENRY AVE, SUITE A AND B, MODESTO, CA 95350-5370
(209) 527-4597
Mailing address
1235 MCHENRY AVE, SUITE A AND B, MODESTO, CA 95350-5370
(209) 527-4597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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