Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Misty Van Vliet

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962136259

Misty Van Vliet is a Student in an Organized Health Care Education/Training Program in Modesto, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2000 W Briggsmore Ave Ste I
Modesto, CA 95350-3839
Phone: (209) 526-1476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 141232 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962136259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address2000 W Briggsmore Ave Ste I, Modesto, CA 95350-3839

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