Individual provider · Type 1 NPI

Cindy Caryol Tabor-Fedele, SUD COUNSELOR

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1295440758 Active

Practice location

1204 W Shaw Ave # 102
Fresno, CA 93711-3706

Call (559) 681-1947 Map

Mailing address

1204 W Shaw Ave Ste 102
Fresno, CA 93711-3706

Other practice locations

  • 2350 W Shaw Ave Ste 123, Fresno, CA 93711-3412 · (559) 365-0580
  • 6641 N Marty Ave, Fresno, CA 93711-0824 · (559) 978-1690
  • 4576 E Shields Ave, Fresno, CA 93726-7220 · (559) 240-9206

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician 167G00000X33263 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14647 (CA)

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

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About NPI 1295440758

Cindy Caryol Tabor-Fedele, SUD COUNSELOR's National Provider Identifier is 1295440758, issued on Jan 19, 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 Aug 28, 2026.