Individual
MERCEDES VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BRIGGSMORE AVE STE I, MODESTO, CA 95350-3839
(209) 526-1476
Mailing address
1104 HALF MOON DR, MODESTO, CA 95350-5540
(209) 380-2726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
17488
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2023
Last updated
09/23/2024
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