Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003285297 |
---|---|
Provider Name | Adel S Hussein |
First Address | Strathmore, CA 93267-9745 |
Second Address | Fresno, CA 93706-5345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2015 |
Last Update Date | 18/09/2015 |