JUAN VINCENT BADILLO

MODESTO, CA
NPI1811719487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  161552)
Enumeration Date2024-10-25
Last Update Date2025-06-23
Business Address
JUAN VINCENT BADILLO
2601 OAKDALE RD STE 154
MODESTO, CA 95355-2256
Phone number: 209-247-0144
Mailing Address
JUAN VINCENT BADILLO
2601 OAKDALE RD STE 154
MODESTO, CA 95355-2256
Phone number: 209-247-0144