| Gateway Llc | |
|
1470 W Herndon Ave Fresno CA 93711-0552 | |
| (559) 256-2000 | |
| (559) 256-3000 |
| Full Name | Gateway Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1470 W Herndon Ave, Fresno, California |
| Authorized Official Name and Position | Michelle Lee Owhadi (ADMINISTRATION) |
| Authorized Official Contact | 5592562000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Llc 1470 W Herndon Ave Fresno CA 93711-0552 Ph: (559) 256-2000 | Gateway Llc 1470 W Herndon Ave Fresno CA 93711-0552 Ph: (559) 256-2000 |
| NPI Number | 1306011838 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306011838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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