Individual
JAMIE LAUREN MCGILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
1620 CUMMINS DR, MODESTO, CA 95358
(209) 576-1750
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/29/2018
Last updated
07/15/2019
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