Individual
ALYSCIA ICARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 N 1ST ST STE 162, FRESNO, CA 93726-6869
(559) 476-2166
Mailing address
3636 N 1ST ST STE 162, FRESNO, CA 93726-6869
(559) 476-2166
(844) 563-6035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/11/2022
Last updated
05/21/2026
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