Individual
FAVIOLA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BRIGGSMORE AVE, MODESTO, CA 95350-3839
(209) 526-1476
Mailing address
983 PIONEER AVE, TURLOCK, CA 95380-2603
(209) 277-1609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/03/2022
Last updated
07/30/2024
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