Individual
ARLETHA VONDELL MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 622-1420
(209) 491-0627
Mailing address
1620 CUMMINS DRIVE, MODESTO, CA 95358
(415) 864-4002
(415) 864-7093
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
10/06/2015
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