Individual
ADAM GARRETT BALTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-9161
Mailing address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-9161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII15840118
CA
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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