Individual
MATTHEW GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 W BRIGGSMORE AVE STE I, MODESTO, CA 95350-3839
(209) 526-1440
(209) 526-0908
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 494-2412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
123468
CA
Other
Enumeration date
11/16/2017
Last updated
09/07/2024
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