person
Ms. Miesha Renee Gammage, MSCOUNSELING
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1710240726

Miesha Renee Gammage is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Miesha Renee Gammage practices in Modesto, CA and has the professional credentials of MSCOUNSELING. The NPI Number for Miesha Renee Gammage is 1710240726 and holds a License No. (California).

The current practice location address for Miesha Renee Gammage is 103 Modesto Ave, Modesto, CA and can be reached out via phone at 209-527-4597.

Location: 103 Modesto Ave, Modesto, CA, 94605-0067
person
Provider Profile Details
NPI Number
1710240726
Provider Name
Miesha Renee Gammage
Credential
MSCOUNSELING
Provider Entity Type
Individual
Gender
Female
Address
103 Modesto Ave, Modesto, CA, 94605-0067
Phone Number
209-527-4597
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
103 Modesto Ave
City
State
Zip
95354-0414
Phone Number
209-527-4597
Fax Number
person
Provider Business Mailing Address Details
Address
103 Modesto Ave
City
State
Zip
95354-0414
Phone Number
209-527-4597
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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