Individual
AMY NICOLE MATHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 MARTIN L KING JR BLVD, FRESNO, CA 93706-4135
(559) 442-0400
(559) 442-0401
Mailing address
2302 MARTIN L KING JR BLVD, FRESNO, CA 93706-4135
(559) 442-0400
(559) 442-0401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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