Karla Kristine Perez, C14401214
Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).
NPI number1760601165
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1760601165
- Entity type
- Individual (NPI-1)
- Name
- Ms. Karla Kristine Perez
- Credential
- C14401214
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2007
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | C14401214 | CA | Yes |
Practice location
1310 M StFresno, CA 93721-1808
Phone 559-264-2700 · Fax 559-264-2767
Mailing address
1310 M StFresno, CA 93721-1808
Phone 559-264-2700 · Fax 559-264-2767
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