Individual provider · Type 1 NPI

Gene Jaquez

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1982304416 Active

Practice location

3707 E Shields Ave
Fresno, CA 93726-7029

Mailing address

3040 E Carmen Ave
Fresno, CA 93703-4003

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14598 (CA)

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

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About NPI 1982304416

Gene Jaquez's National Provider Identifier is 1982304416, issued on Mar 3, 2023. 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 Feb 17, 2026.