Individual
ANNABEL MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADTP 14680
Contact information
Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Mailing address
1441 N GOLDEN STATE BLVD, FRESNO, CA 93728-1467
(559) 579-9802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14680
CA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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