Individual provider · Type 1 NPI

Stephanie Ann Love, MFT INTERN

Mental Health Counselor · Modesto, CA

NPI number 1902162795 Active

Practice location

101 Park Ave
Modesto, CA 95354-0556

Call (209) 491-0872 Map

Mailing address

PO Box 1025
Waterford, CA 95386-1025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902162795

Stephanie Ann Love, MFT INTERN's National Provider Identifier is 1902162795, issued on Apr 5, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Modesto, CA. The record was last updated on Apr 5, 2012.