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

Phyllis Renee Carra, CATCNO236831I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215407549

Phyllis Renee Carra, CATCNO236831I is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

2772 S Martin Luther King Blvd
Fresno, CA 93706
Phone: (559) 265-4800
Fax: (559) 265-4823
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 236831 (CA)

Record details

NPI number1215407549
Entity typeIndividual (Type 1)
GenderFemale
Credentials CATCNO236831I
Sole proprietorNo
NPI enumeratedNovember 29, 2018
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

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