CHANTELLE SUZANNE ODISHO

MODESTO, CA
NPI1336612688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  128823)
Enumeration Date2019-01-09
Last Update Date2022-06-01
Business Address
CHANTELLE SUZANNE ODISHO
4700 ENTERPRISE WAY
MODESTO, CA 95356
Phone number: 209-550-6073
Mailing Address
CHANTELLE SUZANNE ODISHO
4700 ENTERPRISE WAY
MODESTO, CA 95356
Phone number: 209-550-6073