Individual provider · Type 1 NPI

Mildred Gayamo Wagner

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1508614298 Active

Practice location

2772 S Mlk Blvd
Fresno, CA 93706

Call (559) 265-4800 Map

Mailing address

2772 S Mlk
Fresno, CA 93706

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18116 (CA)

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

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About NPI 1508614298

Mildred Gayamo Wagner's National Provider Identifier is 1508614298, issued on May 8, 2024. 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 8, 2024.