Healthcare Provider Details

I. General information

NPI: 1841052685
Provider Name (Legal Business Name): ANABEL VALENZUELA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2024
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 M ST
FRESNO CA
93721-1808
US

IV. Provider business mailing address

400 W GETTYSBURG AVE APT 110A
CLOVIS CA
93612-4204
US

V. Phone/Fax

Practice location:
  • Phone: 559-264-2700
  • Fax:
Mailing address:
  • Phone: 559-722-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number13761-R
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: