Individual provider · Type 1 NPI
Hanat Nambi Balimuttajjo
Addiction (Substance Use Disorder) Counselor · Modesto, CA
NPI number
1114567419
Active
Practice location
2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839
Fax (209) 526-0908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114567419
Hanat Nambi Balimuttajjo's National Provider Identifier is 1114567419, issued on Jan 14, 2020. 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 14, 2020.