Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANTELLE SUZANNE ODISHO
ActiveCHANTELLE SUZANNE ODISHO is a Marriage & Family Therapist healthcare provider located in MODESTO, California. NPI 1336612688 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · MODESTO, CA
Registration Details
- NPI Number
- 1336612688
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2019 (7.5957427143591 yrs)
- Last Updated
- Jun 1, 2022
- License
-
128823 (CA)
Practice Information
- Address
-
4700 ENTERPRISE WAYMODESTO, CA, 95356Browse CA providers · Browse ZIP 95356
- Phone
- 2095506073
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in MODESTO, CA
| Name | Credential | NPI |
|---|---|---|
| MS. CAROLE GAY WALKER | MFT | 1528058294 |
| ALFONSO HERNANDEZ | LCSW | 1942283148 |
| MRS. MICHELE DIANA CORGIAT | MFT | 1275563124 |
| MR. WESS J FERGUSON | M.F.T. | 1922027382 |
| MR. JOHN M QUINONES | M.A., M.F.T. | 1386663045 |
| REBECCA ANN PEDERSEN | LMFT | 1902826266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.