Individual provider · Type 1 NPI

Shelly Denise Booker

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1972677839 Active

Practice location

1235 Mchenry Ave Ste A&b
Modesto, CA 95350-5370

Call (209) 527-4597 Map

Fax (209) 527-4599

Mailing address

1234 Mchenry Ave Ste A&b
Modesto, CA 95350-5373

Other practice locations

  • 1278 Johnson Avenue, San Luis Obispo, CA 93401 · (805) 781-4700

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Counselor 101Y00000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

55 other providers at this address

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About NPI 1972677839

Shelly Denise Booker's National Provider Identifier is 1972677839, issued on Nov 20, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Mar 4, 2024.