Organization
A ND T HOPE 4 CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIANCA AGASSI PHD (DIRECTOR/ PRESIDENT)
(209) 718-0660
Entity
Organization
Contact information
Practice address
1101 STANDIFORD AVE, MODESTO, CA 95350-0982
(209) 579-3301
Mailing address
1101 STANDIFORD AVE STE B6, MODESTO, CA 95350-0981
(209) 718-0660
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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