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Ms. Lydia Elaine Bejarano
Addiction (Substance Use Disorder) Counselor in Modesto, California
NPI 1932387297

Lydia Elaine Bejarano is an Addiction (Substance Use Disorder) Counselor based in Modesto, CA and is specialized in Addiction (Substance Use Disorder). Lydia Elaine Bejarano practices in Modesto, CA. The NPI Number for Lydia Elaine Bejarano is 1932387297 and holds a License No. 1617 (California).

The current practice location address for Lydia Elaine Bejarano is 1116 Alice St, Modesto, CA and can be reached out via phone at 209-578-3132.

Location: 1116 Alice St, Modesto, CA, 95351-1596
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932387297
Provider Name
Lydia Elaine Bejarano
Credential
Provider Entity Type
Individual
Gender
Female
Address
1116 Alice St, Modesto, CA, 95351-1596
Phone Number
209-578-3132
Fax Number
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
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
person
Provider Business Mailing Address Details
Address
1116 Alice St
City
Modesto
State
California
Zip
95350-5905
Phone Number
209-578-3132
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1617 (California)
Definition
Definition to come...
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