Organization · Type 2 NPI
Boys & Girls Club of Manteca
Mental Health Counselor · Manteca, CA
NPI number
1407768278
Active
Practice location
545 W Alameda St
Manteca, CA 95336-3634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Clinical Psychologist | 103TC0700X | None listed |
| Family Psychologist | 103TF0000X | None listed |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Manteca
About NPI 1407768278
Boys & Girls Club of Manteca's National Provider Identifier is 1407768278, issued on Sep 17, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manteca, CA. The record was last updated on Sep 17, 2026.