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Onastacia Nicole Marlow
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1457865602

Onastacia Nicole Marlow is an Addiction (Substance Use Disorder) Counselor based in Turlock, CA and is specialized in Addiction (Substance Use Disorder). Onastacia Nicole Marlow practices in Modesto, CA. The NPI Number for Onastacia Nicole Marlow is 1457865602 and holds a License No. (California).

The current practice location address for Onastacia Nicole Marlow is 1235 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-527-4597.

Location: 1235 Mchenry Ave, Modesto, CA, 95382-2409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457865602
Provider Name
Onastacia Nicole Marlow
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 Mchenry Ave, Modesto, CA, 95382-2409
Phone Number
209-527-4597
Fax Number
Provider Enumeration Date
11/27/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0400X 05 CA
institution
Provider Business Practice Location Address Details
Address
1235 Mchenry Ave
City
Modesto
State
California
Zip
95350-5370
Phone Number
209-527-4597
Fax Number
person
Provider Business Mailing Address Details
Address
1235 Mchenry Ave
City
Modesto
State
California
Zip
95350-5370
Phone Number
209-527-4597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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