Individual provider · Type 1 NPI

Tanya Sue Smith

Professional Counselor · Modesto, CA

NPI number 1760104558 Active

Practice location

121 Downey Ave
Modesto, CA 95354-1208

Call (209) 341-1824 Map

Mailing address

PO Box 1112
Salida, CA 95368-1112

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPCC11511 (CA)

Professional Counselor: Definition to come...

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About NPI 1760104558

Tanya Sue Smith's National Provider Identifier is 1760104558, issued on Sep 19, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on Feb 4, 2025.