Individual
MS. ANN MARIE INTERIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAS
Contact information
Practice address
2550 W CLINTON AVE, FRESNO, CA 93705-4201
(559) 264-7521
(559) 441-0354
Mailing address
2550 W CLINTON AVE, FRESNO, CA 93705-4201
(559) 264-7521
(559) 441-0354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
I1008291327
CA
171M00000X
Case Manager/Care Coordinator
229
CA
Other
Enumeration date
08/15/2008
Last updated
06/30/2011
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