Individual
IRINA BLANCO INSUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
AMFT156513
CA
Other
Enumeration date
02/08/2021
Last updated
10/31/2025
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