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Deitra Jones
Professional Counselor in Modesto, California
NPI 1568892784

Deitra Jones is a Professional Counselor based in Modesto, CA and is specialized in Professional. Deitra Jones practices in Modesto, CA. The NPI Number for Deitra Jones is 1568892784 and holds a License No. C030590115 (California).

The current practice location address for Deitra Jones is 190 E Hackett Rd, Modesto, CA and can be reached out via phone at 209-525-7218.

Location: 190 E Hackett Rd, Modesto, CA, 95358-9001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568892784
Provider Name
Deitra Jones
Credential
Provider Entity Type
Individual
Gender
Female
Address
190 E Hackett Rd, Modesto, CA, 95358-9001
Phone Number
209-525-7218
Fax Number
Provider Enumeration Date
11/25/2013
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
190 E Hackett Rd
City
Modesto
State
California
Zip
95358-9001
Phone Number
209-525-7218
Fax Number
person
Provider Business Mailing Address Details
Address
190 E Hackett Rd
City
Modesto
State
California
Zip
95358-9001
Phone Number
209-525-7218
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.
ASW111251 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C030590115 (California)
Definition
Definition to come...
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