Daniel Edward Ildefonso, CADTP22439
Daniel Edward Ildefonso, CADTP22439 is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
2445 W Whites Bridge AveFresno, CA 93706-1225
Phone: (559) 264-5096
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 22439 (CA) |
|---|
Record details
| NPI number | 1407727050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADTP22439 |
| Sole proprietor | No |
| NPI enumerated | September 16, 2025 |
| Last updated in NPPES | September 16, 2025 |
| Certification date | September 16, 2025 |
| Mailing address | 2445 W Whites Bridge Ave, Fresno, CA 93706-1225 |
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