| Christopher D Millis, Marriage, Family, & Individual Therapy, Counseli | |
|
1500 W Shaw Ave Ste 301 Fresno CA 93711-3501 | |
| (559) 901-4587 | |
| (559) 492-2119 |
| Full Name | Christopher D Millis, Marriage, Family, & Individual Therapy, Counseli |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1500 W Shaw Ave Ste 301, Fresno, California |
| Authorized Official Name and Position | Christopher Dale Millis (OWNER) |
| Authorized Official Contact | 5597833242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher D Millis, Marriage, Family, & Individual Therapy, Counseli 1500 W Shaw Ave Ste 301 Fresno CA 93711-3501 Ph: (559) 901-4587 | Christopher D Millis, Marriage, Family, & Individual Therapy, Counseli 1500 W Shaw Ave Ste 301 Fresno CA 93711-3501 Ph: (559) 901-4587 |
| NPI Number | 1912645409 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912645409 | NPI | - | NPPES |
| 100176768 | Medicaid | CA | |
| 100203081 | Medicaid | CA | |
| 1881771434 | Other | CA | OWNER'S INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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