Individual
KENIA GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BRIGGSMORE AVE STE I, MODESTO, CA 95350-3839
(209) 526-1476
Mailing address
2000 W BRIGGSMORE AVE STE I, MODESTO, CA 95350-3839
(209) 526-1476
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103689
—
Other
Enumeration date
06/26/2019
Last updated
09/06/2023
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