Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy W Maldonado

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104583095

Mr. Timothy W Maldonado is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2772 S M.l K Jr Blvd
Fresno, CA 93706
Phone: (559) 265-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14949 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1104583095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 26, 2021
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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