Individual
MRS. ANGELA TERESE BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-I
Contact information
Practice address
1405 11TH ST, MODESTO, CA 95354-0748
(209) 988-5395
Mailing address
2132 NOELLE CT, MODESTO, CA 95355-9159
(209) 988-5395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1239111216
CA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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