Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boys & Girls Club of Manteca

Organization Mental Health Counselor · NPI 1407768278

Boys & Girls Club of Manteca provides Mental Health Counselor services in Manteca, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

545 W Alameda St
Manteca, CA 95336-3634
Phone: (209) 239-5437
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Clinical Psychologist Taxonomy 103TC0700X
Family Psychologist Taxonomy 103TF0000X

Record details

NPI number1407768278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Young — Chief Executive Officer · (209) 239-5437
NPI enumeratedSeptember 17, 2026
Last updated in NPPESSeptember 17, 2026
Certification dateSeptember 17, 2026
Mailing address545 W Alameda St, Manteca, CA 95336-3634

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