Individual provider · Type 1 NPI

Stacey Bottoms

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1407064256 Active

Practice location

6511 N 1st St
Fresno, CA 93710-3930

Call (559) 438-7129 Map

Specialties and licenses

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

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

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About NPI 1407064256

Stacey Bottoms's National Provider Identifier is 1407064256, issued on May 17, 2007. 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.