Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 8879 | CA |
NPI | 1003184664 |
---|---|
Provider Name | Richard Frank Duarte II |
First Address | Fresno, CA 93701-1502 |
Second Address | Fresno, CA 93701-1502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2011 |
Last Update Date | 02/06/2021 |