Gilbert De La Fuente Jr.
Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).
NPI number1376901587
StatusActive
Last updated in NPPESFeb 2, 2016
Details
- NPI
- 1376901587
- Entity type
- Individual (NPI-1)
- Name
- Mr. Gilbert De La Fuente Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2016
- Last updated
- Feb 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2772 S. Martin Luther King Jr BlvdFresno, CA 93703
Phone 559-265-4800
Mailing address
16628 Hill DrMadera, CA 93638-2819
Phone 559-645-2288
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