Individual
BREANNE R RUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRW
Contact information
Practice address
1204 W SHAW AVE # 102, FRESNO, CA 93711-3706
(559) 681-1947
Mailing address
439 W TWAIN AVE, FRESNO, CA 93704-2514
(661) 363-3505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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