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Ms. Holly Diaz-bach
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1649474164

Holly Diaz-bach is an Addiction (Substance Use Disorder) Counselor based in Ceres, CA and is specialized in Addiction (Substance Use Disorder). Holly Diaz-bach practices in Modesto, CA. The NPI Number for Holly Diaz-bach is 1649474164 and holds a License No. 0000 (California).

The current practice location address for Holly Diaz-bach is 1116 Alice St, Modesto, CA and can be reached out via phone at 209-578-3132 and via fax at 209-579-9605.

Location: 1116 Alice St, Modesto, CA, 95307-1184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649474164
Provider Name
Holly Diaz-bach
Credential
Provider Entity Type
Individual
Gender
Female
Address
1116 Alice St, Modesto, CA, 95307-1184
Phone Number
209-578-3132
Fax Number
209-579-9605
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YA0404OX 01 CA ADDICTION COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1116 Alice St
City
Modesto
State
California
Zip
95350-5905
Phone Number
209-578-3132
Fax Number
209-579-9605
person
Provider Business Mailing Address Details
Address
1116 Alice St
City
Modesto
State
California
Zip
95350-5905
Phone Number
209-578-3132
Fax Number
209-579-9605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0000 (California)
Definition
Definition to come...
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