person
Phyllis Renee Carra, CATCNO236831I
Addiction (Substance Use Disorder) Counselor in Fresno, California
NPI 1215407549

Phyllis Renee Carra is an Addiction (Substance Use Disorder) Counselor based in Fresno, CA and is specialized in Addiction (Substance Use Disorder). Phyllis Renee Carra practices in Fresno, CA and has the professional credentials of CATCNO236831I. The NPI Number for Phyllis Renee Carra is 1215407549 and holds a License No. 236831 (California).

The current practice location address for Phyllis Renee Carra is 2772 S. Martin Luther King Blvd, Fresno, CA and can be reached out via phone at 559-265-4800 and via fax at 559-265-4823.

Location: 2772 S. Martin Luther King Blvd, Fresno, CA, 93706
person
Provider Profile Details
NPI Number
1215407549
Provider Name
Phyllis Renee Carra
Credential
CATCNO236831I
Provider Entity Type
Individual
Gender
Female
Address
2772 S. Martin Luther King Blvd, Fresno, CA, 93706
Phone Number
559-265-4800
Fax Number
559-265-4823
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1184991291 05 CA
institution
Provider Business Practice Location Address Details
Address
2772 S. Martin Luther King Blvd
City
State
Zip
93706
Phone Number
559-265-4800
Fax Number
559-265-4823
person
Provider Business Mailing Address Details
Address
2772 S. Martin Luther King Blvd
City
State
Zip
93706
Phone Number
559-265-4800
Fax Number
559-265-4823
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
236831 (California)
Definition
Definition to come...
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