Individual provider · NPI-1

Ruth Andrade

Community Health Worker · Clovis, CA

NPI number1861660771
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1861660771
Entity type
Individual (NPI-1)
Name
Ruth Andrade
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 13, 2008
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
101Y00000X Counselor––
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
171M00000X Case Manager/Care Coordinator––

Practice location

784 W Holland Ave
Clovis, CA 93612-4800

Phone 559-538-1230

Mailing address

3520 E Shields Ave Ste 102
Fresno, CA 93726-6923

Phone 559-538-1230

Other practice locations

130 W Barstow Ave
Fresno, CA 93704-2156

Phone 559-538-1230

205 N Blackstone Ave
Fresno, CA 93701-1939

Phone 559-538-1230

1828 Broadway St
Fresno, CA 93721-1008

Phone 559-538-1230

4041 Plaza Dr W
Fresno, CA 93702-1342

Phone 559-538-1230

1553 Santa Clara St
Fresno, CA 93706-3447

Phone 559-538-1230

524 S Trinity St
Fresno, CA 93706-1873

Phone 559-538-1230

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