Individual
DR. CARL NEILON MODESTE
Active
Individual
DR. CARL NEILON MODESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
36762
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
36762
CA
103TB0200X
Cognitive & Behavioral Psychologist
36762
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
36762
CA
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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