Organization
STANISLAUS COUNTY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA ANN GONZALEZ (MENTAL HEALTH CLINICIAN)
(209) 558-7494
Entity
Organization
Contact information
Practice address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 558-7494
Mailing address
421 E MORRIS AVE, MODESTO, CA 95354-0437
(209) 558-7494
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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