Jimmy Dean Van Tassel, LCSW
NPI #1699831214 in Modesto, California
Provider Information
- NPI Number
- 1699831214
- Entity Type
- Individual
- Name
- Jimmy Dean Van Tassel, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1320 STANDIFORD AVE
- City
- Modesto
- State
- California
- ZIP Code
- 95350-0726
- Phone
- (209) 557-5765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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