Individual
ALIDA CHAVARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MCHENRY AVE STE A, MODESTO, CA 95350-5370
(209) 527-4597
Mailing address
1455 E G ST STE C, OAKDALE, CA 95361-4096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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