Individual
FABIAN VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 E 40TH ST # C, YUMA, AZ 85365-7994
(928) 388-7423
Mailing address
3250 E 40TH ST # C, YUMA, AZ 85365-7994
(928) 388-7423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-155398
AZ
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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