Eduardo Contreras
Counselor, Mental Health in Riverbank, CA. Individual provider (NPI-1).
NPI number1982174652
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1982174652
- Entity type
- Individual (NPI-1)
- Name
- Eduardo Contreras
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2018
- Certification date
- Mar 1, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
5501 Antique Rose WayRiverbank, CA 95367-9505
Phone 209-863-2450
Mailing address
3425 Coffee Rd Ste C2Modesto, CA 95355-1582
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