Individual provider · NPI-1

Maximino Camacho Acosta

Counselor, Addiction (Substance Use Disorder) · Fresno, CA

NPI number1285544270
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1285544270
Entity type
Individual (NPI-1)
Name
Maximino Camacho Acosta
Sex
Male
Sole proprietor
No
Enumeration date
Sep 10, 2026
Certification date
Sep 10, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)–CAYes

Practice location

1441 N Golden State Blvd Apt 43
Fresno, CA 93728-1465

Phone 530-217-5414

Mailing address

1441 N Golden State Blvd Apt 43
Fresno, CA 93728-1465

Phone 530-217-5414

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Addiction (Substance Use Disorder) providers in Fresno, CA