Individual provider · Type 1 NPI

Dolores Cisneros

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1902125099 Active

Practice location

3300 Tully Rd, Suite D-5
Modesto, CA 95350-0836

Mailing address

PO Box 4224
Modesto, CA 95352-4224

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor 101YP1600X05297 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9319 (CA)

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

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About NPI 1902125099

Dolores Cisneros's National Provider Identifier is 1902125099, issued on May 28, 2010. 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 Apr 4, 2019.