MS. MARY SOUA VANG (NPI# 1942534110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942534110 |
| Entity Type | Individual |
| Full Name | MS. MARY SOUA VANG |
| Other Name | SOUA MARY VANG |
| Credential | MA |
| Practice Address |
2020 Standiford Ave Ste F3 Modesto CA 95350-6531 |
| Mailing Address |
388 March Dr Manteca CA 95336-3219 |
| Practice Telephone | 2097020139 |
| Practice Fax Number | 2097580825 |
| Mailing Telephone | 5305214643 |
| Mailing Fax Number | 2097580825 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | AMFT109581 | CA | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5361 N Pershing Ave Ste H, Stockton, CA 952075450 | 2094779177 | 2094779177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265833420 | Mary Vang | Counselor | 30531 23 Mile Rd, Chesterfield, MI 48047 | 2014-09-08 |
| 1023571270 | Mary Dorrie Vang | Nurse Practitioner | 855 Mankato Ave, Winona, MN 55987-4868 | 2019-04-12 |
| 1568951721 | Mary Vang | Behavior Technician | 795 Folsom St Fl 1, San Francisco, CA 94107-4226 | 2018-05-03 |
| 1992226856 | Mary Evanne Vang | Nurse Anesthetist, Certified Registered | 5 Medical Park Road, Columbia, SC 29203 | 2017-06-30 |
| 1164870440 | Mary Vang | Counselor | 4871 E. Kings Canyon Road, Fresno, CA 93727 | 2016-05-27 |
| Street Address |
2020 STANDIFORD AVE STE F3 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235788431 | Robert Perez | Counselor | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2019-09-10 |
| 1528625043 | Maria Gisselle Salaiza-araiza | Case Manager/Care Coordinator | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2019-05-20 |
| 1679044143 | Stephanie Medina | Counselor | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2018-12-10 |
| 1326583097 | Michelle Cordoba | Counselor | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2017-01-04 |
| 1033565148 | Karissa Lopez | Counselor | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2016-05-06 |
| 1639592702 | Jeffery Boney | Case Manager/Care Coordinator | 2020 Standiford Ave Ste F3, Modesto, CA 95350-6531 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303731 | Youth for Christ Central Valley | Marriage & Family Therapist | 1101 M St, Modesto, CA 95354-0755 | 2020-07-16 |
| 1336629229 | Matina Trigo | Marriage & Family Therapist | 420 Downey Ave, Modesto, CA 95354-1301 | 2018-08-20 |
| 1629558903 | Central Valley Therapeutic Alliance, Inc. | Marriage & Family Therapist | 201 E Orangeburg Ave Ste F, Modesto, CA 95350-5355 | 2018-08-16 |
| 1659888543 | Dr. Irit Goldman Psy.d Lmft | Marriage & Family Therapist | 1604 Ford Ave Ste 1, Modesto, CA 95350-4649 | 2018-01-02 |
| 1013461748 | Pamela Christine Remides | Marriage & Family Therapist | 615 14th St, Modesto, CA 95354-2504 | 2016-08-10 |
| 1073964805 | Dwight Simpson Sr. | Marriage & Family Therapist | 1705 Ardmore Ave, Modesto, CA 95350-4100 | 2016-06-22 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1750620902 | Jacquelyn Irene Mitchell | Marriage & Family Therapist | 3049 Darlene Ln, Modesto, CA 95355-4157 | 2013-02-07 |
| 1891046512 | Brittany Elizabeth Rushin | Marriage & Family Therapist | 1015 12th St Ste 11, Modesto, CA 95354-0838 | 2012-09-20 |
| 1467715979 | Angela Jean Kelley | Marriage & Family Therapist | 1809 Lobero Ln, Modesto, CA 95355-2521 | 2012-06-19 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.