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Phoenix Jett-Dias
NPI 1114768280 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3300 Tully Rd
Modesto, CA 95350 - Phone
- (209) 585-0555
- Fax
- (209) 596-5142
- Organisation at this address
- Dawn M Terashita, Pc
Barbara Israels, Marriage Family Therapist, Inc.
Hopenet Community Counseling A Licensed Clinical Social Worker CoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Specialist
Peer Specialist
Case Manager/Care Coordinator - Sex
- Male
- Record last updated
- 2025-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California