Individual provider · Type 1 NPI

Michael West, SUDRC 21655

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1124949680 Active

Practice location

2445 W Whites Bridge Ave
Fresno, CA 93706-1225

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21655 (CA)

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

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About NPI 1124949680

Michael West, SUDRC 21655's National Provider Identifier is 1124949680, issued on Jul 22, 2026. 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 Jul 22, 2026.