Provider Demographics
NPI:1164022976
Name:HANDS, DENISE RENEE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:RENEE
Last Name:HANDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4604 E TERRACE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-2079
Mailing Address - Country:US
Mailing Address - Phone:559-352-0317
Mailing Address - Fax:
Practice Address - Street 1:4604 E TERRACE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2079
Practice Address - Country:US
Practice Address - Phone:559-352-0317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)