Gateway Counseling Group Licensed Clinical Social Workers Inc | |
4991 E Mckinley Ave Suite 116 Fresno CA 93727-1900 | |
(559) 251-9290 | |
(559) 251-1137 |
Full Name | Gateway Counseling Group Licensed Clinical Social Workers Inc |
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Speciality | Counselor |
Location | 4991 E Mckinley Ave, Fresno, California |
Authorized Official Name and Position | Jan F. Arndt (THERAPIST) |
Authorized Official Contact | 5592519290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gateway Counseling Group Licensed Clinical Social Workers Inc 4991 E Mckinley Ave Suite 116 Fresno CA 93727-1900 Ph: (559) 251-9290 | Gateway Counseling Group Licensed Clinical Social Workers Inc 4991 E Mckinley Ave Suite 116 Fresno CA 93727-1900 Ph: (559) 251-9290 |
NPI Number | 1902984925 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 08/05/2013 |
Medicare PECOS PAC ID | 2365684651 |
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Medicare Enrollment ID | O20130816000057 |
Identifier | Type | State | Issuer |
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1902984925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | LCO 130 (California) | Primary |
Provider Name | Alvin E Green |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508913955 PECOS PAC ID: 5092855064 Enrollment ID: I20091223000165 |
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