KIMBERLY DOUGLASS
NPI 1134453038
Counselor - Addiction (Substance Use Disorder) in Fresno, CA
Active since September 24, 2009
About Kimberly Douglass NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY DOUGLASS (NPI 1134453038) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since September 2009.
NPPES Registry Identity
NPI1134453038
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKIMBERLY DOUGLASS
Location Address611 E BELMONT AVEFresno, CA 93701-1502
Mailing Address7485 N Palm Ave Ste 103Fresno, CA 93711-5764 · (559) 221-8100
Phone(559) 251-4800
Sole ProprietorNo
Enumeration DateSeptember 24, 2009
Last NPPES UpdateJuly 28, 2016
✔ NPI 1134453038 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
611 E BELMONT AVE, Fresno, CA 93701
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
611 E BELMONT AVE
FRESNO, CA 93701
FRESNO, CA 93701
Counselor (Addiction (Substance Use Disorder))
611 E BELMONT AVE
FRESNO, CA 93701
FRESNO, CA 93701
Counselor (Addiction (Substance Use Disorder))
611 E BELMONT AVE
FRESNO, CA 93701
FRESNO, CA 93701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134453038, enumerated as an "individual" on September 24, 2009.
The provider is located at 611 E BELMONT AVE FRESNO, CA 93701 and the phone number is (559) 251-4800.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).