| Fresno Family Therapy | |
|
745 E Locust Ave Ste 106 Fresno CA 93720-3000 | |
| (559) 795-5990 | |
| Not Available |
| Full Name | Fresno Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 745 E Locust Ave Ste 106, Fresno, California |
| Authorized Official Name and Position | Daniel Moultrie (LMFT) |
| Authorized Official Contact | 5592856364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Family Therapy 550 W Alluvial Ave Ste 108 Fresno CA 93711-5857 Ph: (559) 285-6364 | Fresno Family Therapy 745 E Locust Ave Ste 106 Fresno CA 93720-3000 Ph: (559) 795-5990 |
| NPI Number | 1174016240 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174016240 | NPI | - | NPPES |
| UNKNOWN | Other | UNKNOWN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 104484 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 105969 (California) | Secondary |
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