Individual
CYNABLET AGHASI LOLHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 569-0373
Mailing address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 569-0373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ASW128863
CA
Other
Enumeration date
05/11/2023
Last updated
04/25/2025
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