Individual provider · Type 1 NPI

Michelle Petra Basualdo

Addiction (Substance Use Disorder) Counselor · Porterville, CA

NPI number 1497548051 Active

Practice location

89 E Mill Ave
Porterville, CA 93257-3808

Call (559) 853-6222 Map

Fax (559) 339-2101

Mailing address

156 N Doree St
Porterville, CA 93257-5000

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21201 (CA)

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

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About NPI 1497548051

Michelle Petra Basualdo's National Provider Identifier is 1497548051, issued on May 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Porterville, CA. The record was last updated on Jul 31, 2025.