Individual provider · Type 1 NPI

Tyndall Gene Elliott, CATC I

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1861744690 Active

Practice location

2772 S. Martin Luther King Blvd.
Fresno, CA 93706

Call (559) 265-4800 Map

Fax (559) 265-4823

Mailing address

2772 Martin Luther King Jr. Blvd.
Fresno, CA 93706

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X122909 (CA)

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

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About NPI 1861744690

Tyndall Gene Elliott, CATC I's National Provider Identifier is 1861744690, issued on Oct 3, 2012. 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 24, 2016.