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Search › California › 390200000X

Phoenix Jett-Dias

NPI 1114768280 · on the registry since 2024 · sole proprietor

Practice

Address
3300 Tully Rd
Modesto, CA 95350
Phone
(209) 585-0555
Fax
(209) 596-5142
Organisation at this address
Dawn M Terashita, Pc
Barbara Israels, Marriage Family Therapist, Inc.
Hopenet Community Counseling A Licensed Clinical Social Worker Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
174400000X
175T00000X
171M00000X
Sex
Male
Record last updated
2025-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California