| Elizabeth Iaquinto Licensed Marriage And Family Therapist Inc | |
|
420 Bullard Ave Ste 104 Clovis CA 93612-1054 | |
| (559) 934-5296 | |
| Not Available |
| Full Name | Elizabeth Iaquinto Licensed Marriage And Family Therapist Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 420 Bullard Ave Ste 104, Clovis, California |
| Authorized Official Name and Position | Elizabeth Gabriella Iaquinto (CEO) |
| Authorized Official Contact | 5596799220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Iaquinto Licensed Marriage And Family Therapist Inc 1431 Morris Ave Clovis CA 93611-1444 Ph: (559) 679-9220 | Elizabeth Iaquinto Licensed Marriage And Family Therapist Inc 420 Bullard Ave Ste 104 Clovis CA 93612-1054 Ph: (559) 934-5296 |
| NPI Number | 1174336135 |
|---|---|
| Provider Enumeration Date | 01/31/2025 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174336135 | NPI | - | NPPES |
| 1225686769 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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