HANAT BALIMUTTAJJO

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1114567419

Practice Address

2000 W BRIGGSMORE AVE STE I
Modesto, CA 95350

Phone: (209) 526-1476

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1114567419 is the National Provider Identifier for HANAT BALIMUTTAJJO, a Counselor - Addiction (Substance Use Disorder) provider located in Modesto, CA. This NPI was enumerated on January 14, 2020.
HANAT BALIMUTTAJJO practices at 2000 W BRIGGSMORE AVE STE I, Modesto, CA 95350.

Quick Facts

NPI
1114567419
Type
Individual
Enumerated
Jan 14, 2020
Last Updated
Jan 14, 2020