Individual provider · Type 1 NPI

Manessa Boyko

Addiction (Substance Use Disorder) Counselor · Fremont, CA

NPI number 1194363424 Active

Practice location

37437 Glenmoor Dr
Fremont, CA 94536-5731

Call (510) 713-3200 Map

Fax (510) 713-0684

Mailing address

4510 Peralta Blvd Ste 1
Fremont, CA 94536-5755

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 1194363424

Manessa Boyko's National Provider Identifier is 1194363424, issued on Dec 17, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fremont, CA. The record was last updated on Dec 17, 2019.