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Gina Quesada
Professional Counselor in Modesto, California
NPI 1528634268

Gina Quesada is a Professional Counselor based in Modesto, CA and is specialized in Professional. Gina Quesada practices in Modesto, CA. The NPI Number for Gina Quesada is 1528634268 and holds a License No. 105768 (California).

The current practice location address for Gina Quesada is 920 16Th St Ste B, Modesto, CA and can be reached out via phone at 209-558-4595.

Location: 920 16Th St Ste B, Modesto, CA, 95350-6131
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528634268
Provider Name
Gina Quesada
Credential
Provider Entity Type
Individual
Gender
Female
Address
920 16Th St Ste B, Modesto, CA, 95350-6131
Phone Number
209-558-4595
Fax Number
Provider Enumeration Date
06/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
920 16Th St Ste B
City
Modesto
State
California
Zip
95354-1119
Phone Number
209-558-4595
Fax Number
person
Provider Business Mailing Address Details
Address
920 16Th St Ste B
City
Modesto
State
California
Zip
95354-1119
Phone Number
209-558-4595
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
105768 (California)
Definition
Definition to come...
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