Individual
LAUREN FIRESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MCHENRY VILLAGE WAY, MODESTO, CA 95350-4308
(209) 550-5850
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 523-4573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
02/26/2024
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