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Teo Livingston Chiesa, AMFT
Professional Counselor in Modesto, California
NPI 1548042195

Teo Livingston Chiesa is a Professional Counselor based in Modesto, CA and is specialized in Professional. Teo Livingston Chiesa practices in Modesto, CA and has the professional credentials of AMFT. The NPI Number for Teo Livingston Chiesa is 1548042195 and holds a License No. 134579 (California).

The current practice location address for Teo Livingston Chiesa is 500 N 9Th St Ste C, Modesto, CA and can be reached out via phone at 209-558-4420.

Location: 500 N 9Th St Ste C, Modesto, CA, 95350-5814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548042195
Provider Name
Teo Livingston Chiesa
Credential
AMFT
Provider Entity Type
Individual
Gender
Male
Address
500 N 9Th St Ste C, Modesto, CA, 95350-5814
Phone Number
209-558-4420
Fax Number
Provider Enumeration Date
10/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 N 9Th St Ste C
City
Modesto
State
California
Zip
95350-5814
Phone Number
209-558-4420
Fax Number
person
Provider Business Mailing Address Details
Address
500 N 9Th St Ste C
City
Modesto
State
California
Zip
95350-5814
Phone Number
209-558-4420
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
134579 (California)
Definition
Definition to come...
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