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Individual

AUSTIN LEE GUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2000 W BRIGGSMORE AVE, SUITE I, MODESTO, CA 95350-3839
(209) 526-1476
(209) 526-0908
Mailing address
2000 W BRIGGSMORE AVE, SUITE I, MODESTO, CA 95350-3839
(209) 526-1476
(209) 526-0908

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1041C0700X
Clinical Social Worker
Primary
128068
CA

Other

Enumeration date
02/10/2014
Last updated
03/21/2025
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