Doctor Name: | NEREIDA LOMELI |
NPI Number: | 1013165828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT-I |
License Number: | 54626 |
Business Practice Address: | 1800 Tully Rd Ste F Modesto, CA - 953502946 |
Business Phone Number: | 2095761750 |
Business Fax Number: | 2095761768 |
Mailing Address: | 1800 Tully Rd, Ste F MODESTO |
State: | CA |
Postal Code: | 953502946 |
Phone Number: | 2095761750 |
Fax Number: | 2095761768 |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 54626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |