Individual provider · Type 1 NPI

Peter Maldonado

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1558772608 Active

Practice location

2000 W Briggsmore Ave, Suite I
Modesto, CA 95350-3839

Call (209) 526-1476 Map

Fax (209) 526-0908

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 1558772608

Peter Maldonado's National Provider Identifier is 1558772608, issued on May 12, 2014. 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 May 28, 2015.