Favela, Jesus

Favela, Jesus is an individual health care provider with primary practice located at 1208 9Th St , Modesto CA 95354-0713. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Favela, Jesus can be contacted via phone (209) 558-4464.

Contact Information

Primary practice address
1208 9Th St Modesto CA 95354-0713
Phone: (209) 558-4464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598889529
LBN Legal business name Favela, Jesus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598889529 NPPES
California Other 171M00000X CASE MANAGER

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