Individual
JONATHAN ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1539 MCHENRY AVE, MODESTO, CA 95350-4528
(209) 702-0139
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
117256
CA
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/29/2020
Last updated
08/21/2023
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