Individual provider · Type 1 NPI

Serenity Nicole Sulek

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1104380955 Active

Practice location

1235 Mchenry Ave Ste A&b
Modesto, CA 95350-5370

Call (209) 527-4597 Map

Mailing address

590 Acacia Ave
Manteca, CA 95336-3640

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104380955

Serenity Nicole Sulek's National Provider Identifier is 1104380955, issued on Jan 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Jan 25, 2019.