Individual provider · Type 1 NPI

Youssef Elmanawy, PHD. LAADC.

Student in an Organized Health Care Education/Training Program · Fairfield, CA

NPI number 1245798016 Active

Practice location

1525 Union Ave
Fairfield, CA 94533-5049

Call (707) 435-1804 Map

Mailing address

606 Waxwing Pl
Davis, CA 95616-7526

Other practice locations

  • 135 Paul Dr, San Rafael, CA 94903-2023 · (415) 446-1924

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist 103TA0400XLCI04511115 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCI04511115 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

21 other providers at this address

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About NPI 1245798016

Youssef Elmanawy, PHD. LAADC.'s National Provider Identifier is 1245798016, issued on Mar 11, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfield, CA. The record was last updated on Nov 29, 2023.