Individual provider · Type 1 NPI

Ricardo Tyrmaine Jenkins

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1962695049 Active

Practice location

114 E Shaw Ave Ste 210
Fresno, CA 93710-7621

Call (559) 221-8100 Map

Fax (559) 221-8101

Mailing address

4524 W Palo Alto Ave Apt 204
Fresno, CA 93722-2952

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 1962695049

Ricardo Tyrmaine Jenkins's National Provider Identifier is 1962695049, issued on Aug 22, 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 Aug 22, 2007.