| Mb Dual Diagnosis | |
|
302 E Fountain Way Fresno CA 93704-4619 | |
| (559) 352-2714 | |
| Not Available |
| Full Name | Mb Dual Diagnosis |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 302 E Fountain Way, Fresno, California |
| Authorized Official Name and Position | Isaac Becerra (C.E.O) |
| Authorized Official Contact | 5593522714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Dual Diagnosis 4782 N 9th St Fresno CA 93726-0912 Ph: (559) 352-2714 | Mb Dual Diagnosis 302 E Fountain Way Fresno CA 93704-4619 Ph: (559) 352-2714 |
| NPI Number | 1396929923 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396929923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 179679 (California) | Primary |
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