Individual
ANNALISIA ATILANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105249
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2017
Last updated
09/06/2024
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