Provider Demographics
NPI:1821281445
Name:LEON-NUNEZ, SYLVIA A (CAARR)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:A
Last Name:LEON-NUNEZ
Suffix:
Gender:F
Credentials:CAARR
Other - Prefix:MISS
Other - First Name:SYLVIA
Other - Middle Name:A
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAARR
Mailing Address - Street 1:746 W SHAW AVE
Mailing Address - Street 2:PMB-142
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-3216
Mailing Address - Country:US
Mailing Address - Phone:559-392-3741
Mailing Address - Fax:
Practice Address - Street 1:746 W SHAW AVE
Practice Address - Street 2:PMB-142
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-3216
Practice Address - Country:US
Practice Address - Phone:559-392-3741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4755101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)