MB DUAL DIAGNOSIS NPI 1396929923

NPI Information

  • NPI: 1396929923
  • Provider Name: MB DUAL DIAGNOSIS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 302 E FOUNTAIN WAY
    FRESNO, CA
    ZIP 93704
  • Phone: (559) 352-2714

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NPI Details

MB DUAL DIAGNOSIS is a mental health counselor in Fresno, CA. MB DUAL DIAGNOSIS NPI is 1396929923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 E FOUNTAIN WAY
FRESNO, CA
ZIP 93704-619
Phone: (559) 352-2714

The provider's authorized official is Isaac Becerra .
The authorized official title is C.e.o and has the following contact phone number (559) 352-2714.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health179679CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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