Search › California › 1041C0700X
Jimmy Van Tassel, LCSW
NPI 1699831214 · on the registry since 2006
Practice
- Address
- 1320 Standiford Ave
Modesto, CA 95350 - Phone
- (209) 557-5765
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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