| Doctor Name: | MR. DAVID BRIONES ROSALES |
| NPI Number: | 1003145418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A., F.T. |
| License Number: | |
| Business Practice Address: | 4705 N Sonora Ave Ste 113 Fresno, CA - 937223966 |
| Business Phone Number: | 5592767558 |
| Business Fax Number: | 5592767568 |
| Mailing Address: | 4705 N Sonora Ave, Ste 113 FRESNO |
| State: | CA |
| Postal Code: | 937223966 |
| Phone Number: | 5592767558 |
| Fax Number: | 5592767568 |
| NPI Enumeration Date: | 12/14/2009 |
| NPI Last Update Date: | 12/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |