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Organization
MB DUAL DIAGNOSIS
Active
Organization
MB DUAL DIAGNOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAAC BECERRA JR. B.S (C.E.O)
(559) 352-2714
Entity
Organization
Contact information
Practice address
302 E FOUNTAIN WAY, FRESNO, CA 93704-4619
(559) 352-2714
Mailing address
4782 N 9TH ST, FRESNO, CA 93726-0912
(559) 352-2714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
179679
CA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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