Debbie J Dewalt
Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).
Details
- NPI
- 1669984597
- Entity type
- Individual (NPI-1)
- Name
- Debbie J Dewalt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2017
- Last updated
- Nov 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1268071017 | CA | Yes |
Other names
- Deborah Dewalt (Other Name)
Practice location
2772 S Martin Luther King Jr BlvdFresno, CA 93706
Phone 559-265-4800
Mailing address
1328 E Swift AveFresno, CA 93704-3928
Phone 209-304-0814
Other practice locations
Fresno, CA 93721-1808
Phone 559-264-2700 · Fax 559-264-2700
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.
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