MIESHA RENEE GAMMAGE

MODESTO, CA
NPI1710240726
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-06-25
Last Update Date2012-06-25
Business Address
Ms. MIESHA RENEE GAMMAGE M.S. Counseling
103 MODESTO AVE
MODESTO, CA 95354-0414
Phone number: 209-527-4597
Mailing Address
Ms. MIESHA RENEE GAMMAGE M.S. Counseling
PO BOX 5067
OAKLAND, CA 94605-0067
Phone number: 510-228-5487