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Individual

CECILIA RUVALCABA-MINERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7120 N MARKS AVE STE 110, FRESNO, CA 93711
(559) 439-5437
(559) 439-5411
Mailing address
7120 N MARKS AVE STE 110, FRESNO, CA 93711-0268
(559) 439-5437
(559) 439-5411

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-R1310021203
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101044
CA
Enumeration date
10/22/2013
Last updated
12/19/2018
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