Doctor Name: | ADEL S HUSSEIN |
NPI Number: | 1003285297 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 2772 S Martin L King Jr Blvd Fresno, CA - 937065345 |
Business Phone Number: | 5592654800 |
Business Fax Number: | |
Mailing Address: | 19478 Road 196, STRATHMORE |
State: | CA |
Postal Code: | 932679745 |
Phone Number: | 5597893571 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2015 |
NPI Last Update Date: | 09/18/2015 |
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: |