LEEANTHONY HULLON PEER SUPPORT
NPI 1144048406
Counselor - Addiction (Substance Use Disorder) in Fresno, CA
Active since September 26, 2024
About Leeanthony Hullon Peer Support NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEEANTHONY HULLON PEER SUPPORT (NPI 1144048406) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1144048406
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLEEANTHONY HULLONCredential: PEER SUPPORT
Location Address2340 S CLARA AVEFresno, CA 93706-4308
Mailing Address2340 S Clara AveFresno, CA 93706-4308 · (415) 269-1593
Phone(415) 269-1593
Sole ProprietorYes
Enumeration DateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1144048406 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2340 S CLARA AVE, Fresno, CA 93706
Other Names 1
Professional Name (2)Leeanthony Hullon Peer Support
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144048406, enumerated as an "individual" on September 26, 2024.
The provider is located at 2340 S CLARA AVE FRESNO, CA 93706 and the phone number is (415) 269-1593.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
