DR. HENRY CISNEROS PHD NPI 1346411360

NPI Information

NPI: 1346411360
Provider Name: DR. HENRY CISNEROS, PHD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3300 TULLY RD
SUITE D-5
MODESTO, CA
ZIP 95350
Phone: (209) 550-7444
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DR. Henry Cisneros, PHD is an addiction (substance use disorder) counselor in Modesto, CA. DR. Henry Cisneros, PHD NPI is 1346411360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3300 TULLY RD
SUITE D-5
MODESTO, CA
ZIP 95350-836
Phone: (209) 550-7444

The enumeration date for this NPI number is 3/18/2008 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YP1600X	Counselor	Pastoral	No
3	101YS0200X	Counselor	School	No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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