Timothy W Maldonado
Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).
NPI number1104583095
StatusActive
Last updated in NPPESMay 16, 2024
Details
- NPI
- 1104583095
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy W Maldonado
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2021
- Certification date
- May 16, 2024
- Last updated
- May 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 14949 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
2772 S. M.L. .K Jr. BlvdFresno, CA 93706
Phone 559-265-4800
Mailing address
1900 N Gateway BlvdFresno, CA 93727-1622
Phone 559-251-4800 · Fax 559-453-7827
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All 1,267 Addiction (Substance Use Disorder) Counselor providers in Fresno · All 23,426 providers in Fresno
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