Individual
JAMES THEADORE YARNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
800 SCENIC DR BLDG B, MODESTO, CA 95350-6131
(408) 390-3961
(209) 558-4339
Mailing address
800 SCENIC DR BLDG B, MODESTO, CA 95350-6131
(408) 390-3961
(209) 558-4339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Y1002121424
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
AII053610318
CA
372600000X
Adult Companion
Primary
AII053610318
CA
374700000X
Technician
Y1002121424
CA
Other
Enumeration date
05/30/2012
Last updated
05/21/2025
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