MRS. JUANITA MAGDALENO
NPI 1316065279
Counselor - Addiction (Substance Use Disorder) in Fresno, CA
Active since March 27, 2007
2772 S. MARTIN LUTHER KING, SAME AS ABOVE, FRESNO, CA 93703(559) 265-4800(559) 265-4823 Get Directions Write a Review
About Mrs. Juanita Magdaleno NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JUANITA MAGDALENO (NPI 1316065279) is an individual addiction (substance use disorder) provider in Fresno, California, licensed in California (6663) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1316065279
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. JUANITA MAGDALENO
Location Address2772 S. MARTIN LUTHER KING, SAME AS ABOVEFresno, CA 93703-0000
Mailing Address2772 South Martin Luther King, Same As AboveFresno, CA 93706-0000 · (559) 265-4800 · Fax (559) 265-4823
Phone(559) 265-4800
Fax(559) 265-4823
Sole ProprietorNo
Enumeration DateMarch 27, 2007
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1316065279 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
License✔ Licensed in CA · 6663
2772 S. MARTIN LUTHER KING, Fresno, CA 93703
Other Names 1
Former Name (1)Mrs. Jenny Magdaleno
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316065279, enumerated as an "individual" on March 27, 2007.
The provider is located at 2772 S. MARTIN LUTHER KING SAME AS ABOVE FRESNO, CA 93703 and the phone number is (559) 265-4800.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).