Individual provider · Type 1 NPI

Amanda Joann Carlson

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1043021074 Active

Practice location

2550 W Clinton Ave Unit 311
Fresno, CA 93705-4218

Call (559) 264-7521 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1624670725 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043021074

Amanda Joann Carlson's National Provider Identifier is 1043021074, issued on Jan 17, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Sep 1, 2026.