Individual provider · Type 1 NPI

Michanne E. Bohanon

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1174879696 Active

Practice location

3434 W Shaw Ave, Ste 101
Fresno, CA 93711-3216

Call (559) 275-1784 Map

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 1174879696

Michanne E. Bohanon's National Provider Identifier is 1174879696, issued on Aug 2, 2012. 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 Aug 2, 2012.