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Search › California › 172V00000X

Jillian Modawell, LCSW

NPI 1588020226 · on the registry since 2016 · sole proprietor

Practice

Address
629 Oakland Ave
Oakland, CA 94611
Phone
(510) 318-6137
Organisation at this address
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Additional practice sites

  • 724 E 2100 S Ste B, Salt Lake City, UT
  • 724 E 2100 S Ste B, Salt Lake City, UT

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
101YM0800X
Sex
Female
Record last updated
2019-02-26

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