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Individual

ERICA ANGELINA PRADO-DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APCC-6184
CALIFORNIA BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
12/15/2020
Last updated
06/02/2022
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