Individual
CHATONDA C. ZIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 MCHENRY AVE STE A&B, MODESTO, CA 95350-5370
(209) 527-4597
Mailing address
1235 MCHENRY AVE STE A&B, MODESTO, CA 95350-5370
(209) 527-4597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19180
CA
Other
Enumeration date
07/26/2021
Last updated
12/05/2024
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