Individual
ALYSSA DENAE ENGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT-1
Contact information
Practice address
1405 11TH ST, MODESTO, CA 95354-0748
(209) 284-0970
Mailing address
1405 11TH ST, MODESTO, CA 95354-0748
(209) 284-0970
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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