Individual
DIANA PAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE # C-4, CERES, CA 95307-4562
(209) 525-5079
Mailing address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 525-5087
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
109177
CA
Other
Enumeration date
10/04/2022
Last updated
03/20/2025
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