Individual provider · Type 1 NPI

Alice Centeno Tello

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1396301115 Active

Practice location

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

Call (559) 273-2942 Map

Mailing address

178 W Barstow Ave Apt B
Fresno, CA 93704-2154

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR8363 (CA)

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

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About NPI 1396301115

Alice Centeno Tello's National Provider Identifier is 1396301115, issued on May 16, 2019. 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 May 16, 2019.