Individual provider · Type 1 NPI

Eliseo Antonio Heredia Jr.

Mental Health Counselor · Modesto, CA

NPI number 1821537366 Active

Practice location

1539 Mchenry Ave
Modesto, CA 95350-4528

Mailing address

3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229

Other practice locations

  • 2524 Finney Rd, Modesto, CA 95358-9765 · (209) 550-5858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821537366

Eliseo Antonio Heredia Jr.'s National Provider Identifier is 1821537366, issued on Feb 16, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Modesto, CA. The record was last updated on Dec 2, 2024.