person
Jesus Favela
Mental Health Counselor in Modesto, California
NPI 1598889529

Jesus Favela is a Mental Health Counselor based in Modesto, CA and is specialized in Mental Health. Jesus Favela practices in Modesto, CA. The NPI Number for Jesus Favela is 1598889529 and holds a License No. (California).

The current practice location address for Jesus Favela is 1208 9Th St, Modesto, CA and can be reached out via phone at 209-558-4464. You can also correspond with Jesus Favela through the mailing address at 800 SCENIC DR, MODESTO, CA - 95350-6131 (mailing address contact number: 209-558-4464).

Location: 1208 9Th St, Modesto, CA, 95350-6131
person
Provider Profile Details
NPI Number
1598889529
Provider Name
Jesus Favela
Credential
Provider Entity Type
Individual
Gender
Male
Address
1208 9Th St, Modesto, CA, 95350-6131
Phone Number
209-558-4464
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
171M00000X 01 CA CASE MANAGER
institution
Provider Business Practice Location Address Details
Address
1208 9Th St
City
State
Zip
95354-0713
Phone Number
209-558-4464
Fax Number
person
Provider Business Mailing Address Details
Address
1208 9Th St
City
State
Zip
95354-0713
Phone Number
209-558-4464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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