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Individual

DAKOTA AIZSA ACEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
114 S BRAWLEY AVE, FRESNO, CA 93706-2103
(559) 443-2166
Mailing address
4460 W SHAW AVE # 595, FRESNO, CA 93722-6210
(559) 277-3494

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/05/2022
Last updated
08/11/2025
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