| Michelle Petra Basualdo, | |
|
89 E Mill Ave, Porterville, CA 93257-3808 | |
| (559) 853-6222 | |
| (559) 339-2101 |
| Full Name | Michelle Petra Basualdo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 89 E Mill Ave, Porterville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497548051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21201 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Petra Basualdo, 156 N Doree St, Porterville, CA 93257-5000 Ph: (559) 542-6143 | Michelle Petra Basualdo, 89 E Mill Ave, Porterville, CA 93257-3808 Ph: (559) 853-6222 |
Arthur Edgar Jennings, AOD SPECIALIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 E Mill Ave, Porterville, CA 93257 Phone: 559-853-6222 Fax: 559-339-2101 |
Gabriela Zendejas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 882 W Henderson Ave, Porterville, CA 93257 Phone: 559-342-9055 |
Juan Antonio Loera Gonzalez, LPCC 16813 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1055 W Henderson Ave Ste 2, Porterville, CA 93257 Phone: 559-788-1200 Fax: 559-713-3717 |
Rudolph D Pina, SUD COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: P.o. Box 768, Porterville, CA 93258 Phone: 559-784-2316 Fax: 559-791-2533 |
Mr. Mathew Adrian Madrigal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1055 W Henderson Ave Ste 2, Porterville, CA 93257 Phone: 559-788-1200 Fax: 559-749-9772 |
Xavier Agustin Perez, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 89 E Mill Ave, Porterville, CA 93257 Phone: 559-853-6222 |
Michelle Hernandez-morfin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 882 W Henderson Ave, Porterville, CA 93257 Phone: 559-342-9055 |