Individual
NINWAY BAKOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
Mailing address
1072 LA PALOMA ST, TURLOCK, CA 95382-0485
(209) 485-5456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/28/2014
Last updated
09/06/2024
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