LYDIA ELAINE BEJARANO

MODESTO, CA
NPI1932387297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  1617)
Enumeration Date2008-02-08
Last Update Date2021-06-11
Business Address
Ms. LYDIA ELAINE BEJARANO
1116 ALICE ST
MODESTO, CA 95350-5905
Phone number: 209-578-3132
Mailing Address
Ms. LYDIA ELAINE BEJARANO
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151