Individual provider · Type 1 NPI

Ly Ly

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1093039943 Active

Practice location

1235 E St
Fresno, CA 93706-2024

Fax (559) 268-7518

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1093039943

Ly Ly's National Provider Identifier is 1093039943, issued on Mar 22, 2010. 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 Mar 22, 2010.