Individual
KRISTINE PALAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 MCHENRY AVE, MODESTO, CA 95350-4528
(209) 702-0139
Mailing address
1539 MCHENRY AVE, MODESTO, CA 95350-4528
(209) 702-0139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
09/30/2020
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