Individual provider · Type 1 NPI

Kathalene Kae Kodman

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1861687543 Active

Practice location

4494 E Clinton Ave
Fresno, CA 93727

Call (559) 251-4800 Map

Mailing address

9773 N Backer Ave
Fresno, CA 93720-4691

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 1861687543

Kathalene Kae Kodman's National Provider Identifier is 1861687543, issued on Sep 6, 2007. 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 Sep 6, 2007.