person
Jerry Farmer
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1205392859

Jerry Farmer is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Jerry Farmer practices in Modesto, CA. The NPI Number for Jerry Farmer is 1205392859 and holds a License No. (California).

The current practice location address for Jerry Farmer is 1028 Reno Ave, Modesto, CA and can be reached out via phone at 209-579-1103.

Location: 1028 Reno Ave, Modesto, CA, 95351-1596
person
Provider Profile Details
NPI Number
1205392859
Provider Name
Jerry Farmer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1028 Reno Ave, Modesto, CA, 95351-1596
Phone Number
209-579-1103
Fax Number
Provider Enumeration Date
02/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1028 Reno Ave
City
State
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
person
Provider Business Mailing Address Details
Address
1028 Reno Ave
City
State
Zip
95351-1127
Phone Number
209-579-1103
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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