Individual
BEE THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6043
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10730
CA
374700000X
Technician
—
—
Other
Enumeration date
02/18/2013
Last updated
05/31/2022
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