| Dbt Of Fresno, Licensed Clinical Social Worker , Corp | |
|
516 W Shaw Ave Ste 200 Fresno CA 93704-2515 | |
| (559) 785-0347 | |
| Not Available |
| Full Name | Dbt Of Fresno, Licensed Clinical Social Worker , Corp |
|---|---|
| Speciality | Social Worker |
| Location | 516 W Shaw Ave Ste 200, Fresno, California |
| Authorized Official Name and Position | Narine Zilfugharyan (CEO) |
| Authorized Official Contact | 5597850347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt Of Fresno, Licensed Clinical Social Worker , Corp 5132 N Palm Ave # 110 Fresno CA 93704-2236 Ph: (559) 785-0347 | Dbt Of Fresno, Licensed Clinical Social Worker , Corp 516 W Shaw Ave Ste 200 Fresno CA 93704-2515 Ph: (559) 785-0347 |
| NPI Number | 1093490831 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/08/2023 |
| Medicare PECOS PAC ID | 0840645560 |
|---|---|
| Medicare Enrollment ID | O20231016000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093490831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Narine Zilfugharyan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861664740 PECOS PAC ID: 4082935978 Enrollment ID: I20150603002718 |
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