Individual
JANELL KAYE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1400 K ST, MODESTO, CA 95354-1018
(209) 523-4573
Mailing address
1400 K ST, MODESTO, CA 95354-1018
(209) 523-4573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
25523
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2007
Last updated
05/22/2009
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