Individual
DANIELLE DE FARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354-1208
(209) 341-1824
Mailing address
1420 SPRUCE AVE, ATWATER, CA 95301-2734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
126061
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
09/25/2024
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