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Individual

AGNES WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC, CAS

Contact information

Practice address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
Mailing address
2445 W WHITES BRIDGE AVE, FRESNO, CA 93706-1225
(559) 264-5096
(831) 758-5127

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
270002CN
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2702
CA
Enumeration date
05/31/2007
Last updated
07/29/2019
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