Individual provider · Type 1 NPI
Maryellen Pistalu
Addiction (Substance Use Disorder) Counselor · Fresno, CA
NPI number
1417362575
Active
Practice location
1505 N Chestnut Ave
Fresno, CA 93703-4504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1417362575
Maryellen Pistalu's National Provider Identifier is 1417362575, issued on Jun 27, 2014. 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 Jun 27, 2014.