Organization · Type 2 NPI
MB Dual Diagnosis
Mental Health Counselor · Fresno, CA
NPI number
1396929923
Active
Practice location
302 E Fountain Way
Fresno, CA 93704-4619
Mailing address
4782 N 9th St
Fresno, CA 93726-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 179679 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1396929923
MB Dual Diagnosis's National Provider Identifier is 1396929923, issued on Dec 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fresno, CA. The record was last updated on Dec 18, 2007.