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Joey Jesse Reynoso
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1194851410

Joey Jesse Reynoso is an Addiction (Substance Use Disorder) Counselor based in Clovis, CA and is specialized in Addiction (Substance Use Disorder). Joey Jesse Reynoso practices in Fresno, CA. The NPI Number for Joey Jesse Reynoso is 1194851410 and holds a License No. (California).

The current practice location address for Joey Jesse Reynoso is 114 E Shaw Ave Ste 210, Fresno, CA and can be reached out via phone at 559-221-8100.

Location: 114 E Shaw Ave Ste 210, Fresno, CA, 93612-3611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194851410
Provider Name
Joey Jesse Reynoso
Credential
Provider Entity Type
Individual
Gender
Male
Address
114 E Shaw Ave Ste 210, Fresno, CA, 93612-3611
Phone Number
559-221-8100
Fax Number
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101076 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
114 E Shaw Ave Ste 210
City
Fresno
State
California
Zip
93710-7621
Phone Number
559-221-8100
Fax Number
person
Provider Business Mailing Address Details
Address
114 E Shaw Ave Ste 210
City
Fresno
State
California
Zip
93710-7621
Phone Number
559-221-8100
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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