SHONTA SMALLWOOD

FRESNO, CA
NPI1487820056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2008-05-05
Last Update Date2008-05-05
Business Address
SHONTA SMALLWOOD
2772 MARTIN LUTHER KING BLVD
FRESNO, CA 93706-5345
Phone number: 559-265-4800
Mailing Address
SHONTA SMALLWOOD
1029 E JOLSON AVE
FRESNO, CA 93706-5548
Phone number: