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NPI Code Detail

MEDICARE: CHERYL RENEE LEVINE-CHRISTIAN

MEDICARE: CHERYL RENEE LEVINE-CHRISTIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2171M00000XCase Manager/Care Coordinator
3372600000XAdult Companion

General Provider Information

NPI Number : 1760891667
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL RENEE LEVINE-CHRISTIAN
Provider Business Mailing Address
First Line : 1001 NEEDHAM ST
Second Line :
City : MODESTO
State : CA
Zip : 95354-0730
Country : US
Telephone Number : 209-569-0373
Fax Number : 209-529-8519
Provider Business Practice Location Address
First Line : 1001 NEEDHAM ST
Second Line :
City : MODESTO
State : CA
Zip : 95354-0730
Country : US
Telephone Number : 209-569-0373
Fax Number : 209-529-8519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2014
Last Update Date : 02/15/2026

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Directions to “ CHERYL RENEE LEVINE-CHRISTIAN ” Practice Location

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