Individual provider · Type 1 NPI

Ruby Lupe Deanda

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1245390046 Active

Practice location

515 S Cedar Ave
Fresno, CA 93702-2908

Specialties and licenses

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

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About NPI 1245390046

Ruby Lupe Deanda's National Provider Identifier is 1245390046, issued on Dec 11, 2006. 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 8, 2007.