Individual
BEN HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4411 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-6271
(559) 453-6272
Mailing address
534 W SUMNER AVE, FRESNO, CA 93706-9248
(559) 237-8712
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
447
CA
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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