Dr. Henry Cisneros
Counselor School Counselor Pastoral Counselor Addiction Counselor (Substance Use Disorder)
3300 Tully Rd Suite D-5
Modesto
, California 95350-0836
Dr. Henry Cisneros
Counselor School Counselor Pastoral Counselor Addiction Counselor (Substance Use Disorder)
3300 Tully Rd Suite D-5
Modesto
, California 95350-0836
(209) 550-7444
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About
Features
Specialties
- Counselor
- Addiction Counselor (Substance Use Disorder)
- Pastoral Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Dr. Henry Cisneros
- Po Box 4224
- Modesto, CA
- Zip : 95352-4224
- Phone : (209) 550-7444
Second Address
- Dr. Henry Cisneros
- 3300 Tully Rd Suite D-5
- Modesto, CA
- Zip : 95350-0836
- Phone : (209) 550-7444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101Y00000X | Counselor | ||
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
| N | 101YP1600X | Pastoral Counselor | ||
| N | 101YS0200X | School Counselor |
National Provider Identifier
| NPI | 1346411360 |
|---|---|
| Provider Name | Dr. Henry Cisneros |
| First Address | Modesto, CA 95352-4224 |
| Second Address | Modesto, CA 95350-0836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2008 |
| Last Update Date | 27/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.