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Miss Jamie Diane Enos
Professional Counselor in Modesto, California
NPI 1194844290

Jamie Diane Enos is a Professional Counselor based in Modesto, CA and is specialized in Professional. Jamie Diane Enos practices in Modesto, CA. The NPI Number for Jamie Diane Enos is 1194844290 and holds a License No. 52303 (California).

The current practice location address for Jamie Diane Enos is 1700 Mchenry Village Way # 11, Modesto, CA and can be reached out via phone at 209-526-1476 and via fax at 209-526-0908.

Location: 1700 Mchenry Village Way # 11, Modesto, CA, 95350-4308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194844290
Provider Name
Jamie Diane Enos
Credential
Provider Entity Type
Individual
Gender
Female
Address
1700 Mchenry Village Way # 11, Modesto, CA, 95350-4308
Phone Number
209-526-1476
Fax Number
209-526-0908
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1700 Mchenry Village Way # 11
City
Modesto
State
California
Zip
95350-4308
Phone Number
209-526-1476
Fax Number
209-526-0908
person
Provider Business Mailing Address Details
Address
1700 Mchenry Village Way # 11
City
Modesto
State
California
Zip
95350-4308
Phone Number
209-526-1476
Fax Number
209-526-0908
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
52303 (California)
Definition
Definition to come...
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