Individual provider · Type 1 NPI

Phyllis Cordray

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1790243749 Active

Practice location

611 E Belmont Ave
Fresno, CA 93701-1502

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 1790243749

Phyllis Cordray's National Provider Identifier is 1790243749, issued on Mar 8, 2019. 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 Mar 8, 2019.