Individual
MS. BESRAT MUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
931 10TH ST STE 811, MODESTO, CA 95354-2305
(209) 661-5576
Mailing address
931 10TH ST STE 811, MODESTO, CA 95354-2305
(209) 661-5576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92527
CA
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
67939
CA
1041C0700X
Clinical Social Worker
92527
CA
Other
Enumeration date
07/20/2015
Last updated
05/07/2024
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