Individual provider · Type 1 NPI

Henry Cisneros, PhD

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1346411360 Active

Practice location

3300 Tully Rd, Suite D-5
Modesto, CA 95350-0836

Mailing address

PO Box 4224
Modesto, CA 95352-4224

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Pastoral Counselor 101YP1600XNone listed
School Counselor 101YS0200XNone listed

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

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About NPI 1346411360

Henry Cisneros, PhD's National Provider Identifier is 1346411360, issued on Mar 18, 2008. 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 27, 2015.