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NPI Code Detail

MEDICARE: RONALD DAVID KNOY CADTP 15809

MEDICARE: RONALD DAVID KNOY CADTP 15809
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor15809CA

General Provider Information

NPI Number : 1255507240
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD DAVID KNOY CADTP 15809
Provider Business Mailing Address
First Line : 2445 W WHITES BRIDGE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-1225
Country : US
Telephone Number : 559-970-3499
Fax Number :
Provider Business Practice Location Address
First Line : 2445 W WHITES BRIDGE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-1225
Country : US
Telephone Number : 559-970-3499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 11/28/2023

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