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Mrs. Alyssa Nicole Wagner
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1073103826

Alyssa Nicole Wagner is an Addiction (Substance Use Disorder) Counselor based in Clovis, CA and is specialized in Addiction (Substance Use Disorder). Alyssa Nicole Wagner practices in Fresno, CA. The NPI Number for Alyssa Nicole Wagner is 1073103826 and holds a License No. (California).

The current practice location address for Alyssa Nicole Wagner is 2550 W Clinton Ave, Fresno, CA and can be reached out via phone at 559-255-9117.

Location: 2550 W Clinton Ave, Fresno, CA, 93611-4170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073103826
Provider Name
Alyssa Nicole Wagner
Credential
Provider Entity Type
Individual
Gender
Female
Address
2550 W Clinton Ave, Fresno, CA, 93611-4170
Phone Number
559-255-9117
Fax Number
Provider Enumeration Date
01/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2550 W Clinton Ave
City
Fresno
State
California
Zip
93705-4206
Phone Number
559-255-9117
Fax Number
person
Provider Business Mailing Address Details
Address
2550 W Clinton Ave
City
Fresno
State
California
Zip
93705-4206
Phone Number
559-255-9117
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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