Mickensey Lynn Oliveira
Counselor, Addiction (Substance Use Disorder) in Modesto, CA. Individual provider (NPI-1).
NPI number1962265041
StatusActive
Last updated in NPPESFeb 1, 2024
Details
- NPI
- 1962265041
- Entity type
- Individual (NPI-1)
- Name
- Mickensey Lynn Oliveira
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2024
- Certification date
- Feb 1, 2024
- Last updated
- Feb 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
416 Corson AveModesto, CA 95350-5408
Phone 209-521-1805
Mailing address
416 Corson AveModesto, CA 95350-5408
Phone 209-521-1805
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All 325 Addiction (Substance Use Disorder) Counselor providers in Modesto · All 10,803 providers in Modesto
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