person
Nactalye Vicencio
Mental Health Counselor in Modesto, California
NPI 1679019285

Nactalye Vicencio is a Mental Health Counselor based in Modesto, CA and is specialized in Mental Health. Nactalye Vicencio practices in Modesto, CA. The NPI Number for Nactalye Vicencio is 1679019285 and holds a License No. (California).

The current practice location address for Nactalye Vicencio is 3601 Prescott Rd Apt 71, Modesto, CA and can be reached out via phone at 831-265-9328.

Location: 3601 Prescott Rd Apt 71, Modesto, CA, 95356-0796
person
Provider Profile Details
NPI Number
1679019285
Provider Name
Nactalye Vicencio
Credential
Provider Entity Type
Individual
Gender
Female
Address
3601 Prescott Rd Apt 71, Modesto, CA, 95356-0796
Phone Number
831-265-9328
Fax Number
Provider Enumeration Date
01/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 Prescott Rd Apt 71
City
State
Zip
95356-0796
Phone Number
831-265-9328
Fax Number
person
Provider Business Mailing Address Details
Address
3601 Prescott Rd Apt 71
City
State
Zip
95356-0796
Phone Number
831-265-9328
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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