Individual
MS. MICHELLE DIANE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHS II, SUDCC
Contact information
Practice address
500 N 9TH ST STE C, MODESTO, CA 95350-5814
(209) 558-4420
Mailing address
500 N 9TH ST STE C, MODESTO, CA 95350-5814
(209) 558-4420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15015
CA
171M00000X
Case Manager/Care Coordinator
—
CA
372600000X
Adult Companion
Primary
—
CA
374700000X
Technician
—
CA
Other
Enumeration date
07/05/2018
Last updated
05/15/2025
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