Individual
ESTEBAN CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
Mailing address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/07/2016
Last updated
12/06/2018
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