Individual
DIANA GABRIELA CERVANTES JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY VILLAGE WAY STE 11B, MODESTO, CA 95350-4341
(209) 550-5865
Mailing address
1700 MCHENRY VILLAGE WAY STE 11B, MODESTO, CA 95350-4341
(209) 550-5865
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
Other
Enumeration date
03/11/2025
Last updated
09/02/2025
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