Individual
CAROLINA MYRA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 40TH ST, OAKLAND, CA 94609-2633
(209) 641-2997
Mailing address
1600 N CARPENTER RD STE D, MODESTO, CA 95351-1185
(209) 524-6371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
101YP2500X
Professional Counselor
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
CA
Enumeration date
12/23/2020
Last updated
03/23/2026
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