Cisneros, Henry

Cisneros, Henry is an individual health care provider with primary practice located at 3300 Tully Rd Suite D-5, Modesto CA 95350-0836. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Cisneros, Henry can be contacted via phone (209) 550-7444.

Contact Information

Primary practice address
3300 Tully Rd Suite D-5 Modesto CA 95350-0836
Phone: (209) 550-7444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1346411360
LBN Legal business name Cisneros, Henry
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Jan 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers