Individual provider · Type 1 NPI

Juan Nicolas Favila

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1801772918 Active

Practice location

1414 W Kearney Blvd
Fresno, CA 93706-2702

Call (559) 485-0501 Map

Fax (559) 485-1313

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22342 (CA)

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

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About NPI 1801772918

Juan Nicolas Favila's National Provider Identifier is 1801772918, issued on Aug 13, 2025. 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 Aug 13, 2025.