Individual
ADRIANA PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 872-4612
Mailing address
1425 QUEENS AVE, MODESTO, CA 95355-3247
(209) 914-5635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/21/2019
Last updated
05/13/2025
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