Individual
REGINA RAYGOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 16TH ST STE B, MODESTO, CA 95354-1119
(209) 581-3287
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
05/15/2025
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