What is Kristopher Villanueva's NPI number?

The NPI number assigned to this healthcare provider is 1174084438, enumerated as a individual on March 28, 2019.

Where is the provider located?

The provider is located at 2445 W WHITES BRIDGE AVE FRESNO, CA 93706 and the phone number is (559) 264-5096.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

KRISTOPHER GLENN VILLANUEVA - NPI 1174084438

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About Kristopher Glenn Villanueva NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTOPHER GLENN VILLANUEVA (NPI 1174084438) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1174084438

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKRISTOPHER GLENN VILLANUEVA

Location Address2445 W WHITES BRIDGE AVEFresno, CA 93706-1225

Mailing Address2445 W Whites Bridge AveFresno, CA 93706-1225 · (559) 264-5096

Phone(559) 264-5096

Sole ProprietorNo

Enumeration DateMarch 28, 2019

✔ NPI 1174084438 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

2445 W WHITES BRIDGE AVE, Fresno, CA 93706

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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.

COMPREHENSIVE ADDICTIONS PROGRAM

Substance Abuse Rehabilitation Facility