Individual
AIDA RENEE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MCHENRY AVE STE A&B, MODESTO, CA 95350-5370
(209) 238-7875
Mailing address
1235 MCHENRY AVE STE A&B, MODESTO, CA 95350-5370
(209) 238-7875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
10/02/2024
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