Individual
MR. CARLOS ABRAHAM ALTAMIRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 W KEARNEY BLVD, FRESNO, CA 93706-2702
(559) 485-0501
(559) 485-1313
Mailing address
1414 W KEARNEY BLVD, FRESNO, CA 93706-2702
(559) 485-0501
(559) 485-1313
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15420-RAC
CA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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