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Ms. Shelly Denise Booker
Counselor in Modesto, California
NPI 1972677839

Shelly Denise Booker is a Counselor based in Modesto, CA. Shelly Denise Booker practices in Modesto, CA. The NPI Number for Shelly Denise Booker is 1972677839 and holds a License No. (California).

The current practice location address for Shelly Denise Booker is 1235 Mchenry Ave Ste A&B, Modesto, CA and can be reached out via phone at 209-527-4597 and via fax at 209-527-4599. You can also correspond with Shelly Denise Booker through the mailing address at 1234 MCHENRY AVE STE A&B, MODESTO, CA - 95350-5373 (mailing address contact number: 209-527-4597).

Location: 1235 Mchenry Ave Ste A&B, Modesto, CA, 95350-5373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972677839
Provider Name
Shelly Denise Booker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1235 Mchenry Ave Ste A&B, Modesto, CA, 95350-5373
Phone Number
209-527-4597
Fax Number
209-527-4599
Provider Enumeration Date
11/20/2006
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1235 Mchenry Ave Ste A&B
City
Modesto
State
California
Zip
95350-5370
Phone Number
209-527-4597
Fax Number
209-527-4599
person
Provider Business Mailing Address Details
Address
1234 Mchenry Ave Ste A&B
City
Modesto
State
California
Zip
95350-5373
Phone Number
209-527-4597
Fax Number
209-527-4599
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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