JIMMY VAN TASSEL, LCSW

Social Worker - Clinical

Active Individual
NPI: 1699831214

Practice Address

1320 STANDIFORD AVE
Modesto, CA 95350

Phone: (209) 557-5765

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCS 17803 (CA)

Frequently Asked Questions

NPI 1699831214 is the National Provider Identifier for JIMMY VAN TASSEL, LCSW, a Social Worker - Clinical provider located in Modesto, CA. This NPI was enumerated on December 28, 2006.
JIMMY VAN TASSEL, LCSW practices at 1320 STANDIFORD AVE, Modesto, CA 95350.

Quick Facts

NPI
1699831214
Type
Individual
Enumerated
Dec 28, 2006
Last Updated
Jul 8, 2007