Organization
INNOVATIONS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE CAROL MCNEAL (CEO)
(323) 326-0860
Entity
Organization
Contact information
Practice address
4946 E YALE AVE STE 103, FRESNO, CA 93727-1571
(323) 326-0860
Mailing address
4946 E YALE AVE STE 103, FRESNO, CA 93727-1571
(323) 326-0860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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