Individual provider · Type 1 NPI

Tina M. Hedstrom, CADCII, CAS

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1700945516 Active

Practice location

515 S Cedar Ave
Fresno, CA 93702-2908

Mailing address

1272 Villa Ave Spc 21
Clovis, CA 93612-2423

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA8462403 (CA)

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

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About NPI 1700945516

Tina M. Hedstrom, CADCII, CAS's National Provider Identifier is 1700945516, issued on Dec 7, 2006. 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.