Individual provider · Type 1 NPI

Michelle D. Cleary, R1233040616

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1871102947 Active

Practice location

1405 11th St
Modesto, CA 95354-0748

Mailing address

PO Box 194
Crows Landing, CA 95313-0194

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1233040616 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871102947

Michelle D. Cleary, R1233040616's National Provider Identifier is 1871102947, issued on Jul 24, 2020. 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 Jul 24, 2020.