MB DUAL DIAGNOSIS NPI 1396929923

NPI Information

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:

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