Individual provider · Type 1 NPI

Manuel John Vasquez

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1164136115 Active

Practice location

2772 S Martin Luther King Jr Blvd
Fresno, CA 93706-5345

Call (559) 265-4800 Map

Mailing address

2772 S. Martin Luther King Bvld, 2772 S. Martin Luther King Bvld
Fresno, CA 93706-3056

Other practice locations

  • 3333 E American Ave, Fresno, CA 93725-9247 · (559) 600-7644

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17186 (CA)

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

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About NPI 1164136115

Manuel John Vasquez's National Provider Identifier is 1164136115, issued on Jan 12, 2023. 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 29, 2025.