Individual
RUTH RENEE' HEINLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DOWNEY AVENUE, MODESTO, CA 95354
(209) 341-1824
(209) 523-1296
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 417-8822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
05/23/2025
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