Individual
MR. TOM FERENCZIK PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 MCHENRY VILLAGE WAY # 11, MODESTO, CA 95350-4308
(209) 526-1476
(209) 526-0908
Mailing address
1053 E 6 TH STREET, ONTARIO, CA 91764-0000
(909) 284-0423
(909) 284-0423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
49290
CA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
05/05/2011
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