Individual
JEWELISA HARRISON-KAYODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 9TH ST STE C, MODESTO, CA 95350-5814
(209) 558-4420
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
135837
CA
Other
Enumeration date
09/18/2018
Last updated
04/04/2025
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