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Individual

DEBBIE BETTENCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 K ST, MODESTO, CA 95354-1018
(209) 523-4573
Mailing address
1320 1ST ST, ATWATER, CA 95301-4002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/12/2007
Last updated
05/27/2009
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