| Valley Hope Community Partnership | |
|
3340 Tully Rd Ste D4 Modesto CA 95350-0852 | |
| (209) 496-4162 | |
| Not Available |
| Full Name | Valley Hope Community Partnership |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3340 Tully Rd Ste D4, Modesto, California |
| Authorized Official Name and Position | Michael Kelly Abbott (PSYCHOLOGIST) |
| Authorized Official Contact | 2095964162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Hope Community Partnership 3340 Tully Rd Ste D4 Modesto CA 95350-0852 Ph: (209) 496-4162 | Valley Hope Community Partnership 3340 Tully Rd Ste D4 Modesto CA 95350-0852 Ph: (209) 496-4162 |
| NPI Number | 1568951663 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568951663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 27701 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 70497 (California) | Primary |
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