Individual
PERLA TSHIBOLA MBUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 COFFEE RD, MODESTO, CA 95355-4240
(209) 554-6808
Mailing address
139 MARGUERITE LN, PATTERSON, CA 95363-9099
(408) 449-6949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
07/16/2025
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