Individual provider · Type 1 NPI

Miesha Renee Gammage, M.S. COUNSELING

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1710240726 Active

Practice location

103 Modesto Ave
Modesto, CA 95354-0414

Call (209) 527-4597 Map

Mailing address

PO Box 5067
Oakland, CA 94605-0067

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 1710240726

Miesha Renee Gammage, M.S. COUNSELING's National Provider Identifier is 1710240726, issued on Jun 25, 2012. 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 Jun 25, 2012.