Healthcare Provider Details

I. General information

NPI: 1063002533
Provider Name (Legal Business Name): HELENA RENAE FRANCISCO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELENA RENAE GONZALES

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 CORSON AVE
MODESTO CA
95350-5408
US

IV. Provider business mailing address

PO BOX 399318
SAN FRANCISCO CA
94139-9318
US

V. Phone/Fax

Practice location:
  • Phone: 209-550-7352
  • Fax:
Mailing address:
  • Phone: 866-523-4268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: