| Bashful Elephant | |
|
3097 Willow Suite 4 Clovis CA 93612 | |
| (559) 326-8391 | |
| Not Available |
| Full Name | Bashful Elephant |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3097 Willow Suite 4, Clovis, California |
| Authorized Official Name and Position | F Patricia Buffaloe (PARTNER) |
| Authorized Official Contact | 5593268391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bashful Elephant Bashful Elephant 3097 Willow Suite 4 Clovis CA 93612 Ph: (559) 326-8391 | Bashful Elephant 3097 Willow Suite 4 Clovis CA 93612 Ph: (559) 326-8391 |
| NPI Number | 1437400793 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437400793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC50672 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | MFC50672 (California) | Primary |
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