Individual provider · Type 1 NPI

Amy Marie Boylan-Mendes

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1851629091 Active

Practice location

103 Modesto Ave
Modesto, CA 95354-0414

Fax (209) 527-4599

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 1851629091

Amy Marie Boylan-Mendes's National Provider Identifier is 1851629091, issued on Nov 30, 2009. 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 Nov 30, 2009.