person
David Raese, SUDRC#15389
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1760264915

David Raese is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). David Raese practices in Modesto, CA and has the professional credentials of SUDRC#15389. The NPI Number for David Raese is 1760264915 and holds a License No. 15389 (California).

The current practice location address for David Raese is 1101 Sylvan Ave Ste C103, Modesto, CA and can be reached out via phone at 209-758-7477 and via fax at 866-875-7351. You can also correspond with David Raese through the mailing address at 1101 SYLVAN AVE STE C103, MODESTO, CA - 95350-1687 (mailing address contact number: 209-758-7477).

Location: 1101 Sylvan Ave Ste C103, Modesto, CA, 95350-1687
person
Provider Profile Details
NPI Number
1760264915
Provider Name
David Raese
Credential
SUDRC#15389
Provider Entity Type
Individual
Gender
Male
Address
1101 Sylvan Ave Ste C103, Modesto, CA, 95350-1687
Phone Number
209-758-7477
Fax Number
866-875-7351
Provider Enumeration Date
10/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 Sylvan Ave Ste C103
City
State
Zip
95350-1687
Phone Number
209-758-7477
Fax Number
866-875-7351
person
Provider Business Mailing Address Details
Address
1101 Sylvan Ave Ste C103
City
State
Zip
95350-1687
Phone Number
209-758-7477
Fax Number
866-875-7351
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15389 (California)
Definition
Definition to come...
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