Individual
ALISHA CHARISE THULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 E AMERICAN AVE, FRESNO, CA 93725-9247
(559) 600-4879
Mailing address
2250 W. CLINTON AVE, BUILDING B #128, FRESNO, CA 93705
(559) 245-1161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B0000880620
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
08/04/2017
Last updated
01/03/2022
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