Provider Demographics
NPI:1699210377
Name:ALBOR, CARINA
Entity type:Individual
Prefix:MISS
First Name:CARINA
Middle Name:
Last Name:ALBOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 QUAIL MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-9247
Mailing Address - Country:US
Mailing Address - Phone:209-602-0694
Mailing Address - Fax:
Practice Address - Street 1:2020 STANDIFORD AVE
Practice Address - Street 2:F3
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-6529
Practice Address - Country:US
Practice Address - Phone:209-602-0694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health