| Gorham Family Therapy, Inc | |
|
1444 Fulton St Fresno CA 93721-1610 | |
| (559) 663-0224 | |
| (559) 663-0225 |
| Full Name | Gorham Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1444 Fulton St, Fresno, California |
| Authorized Official Name and Position | Tiffany Gorham (OWNER) |
| Authorized Official Contact | 5592071408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gorham Family Therapy, Inc Po Box 1482 Clovis CA 93613-1482 Ph: (559) 207-1408 | Gorham Family Therapy, Inc 1444 Fulton St Fresno CA 93721-1610 Ph: (559) 663-0224 |
| NPI Number | 1427622331 |
|---|---|
| Provider Enumeration Date | 05/15/2021 |
| Last Update Date | 05/15/2021 |
| Certification Date | 05/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427622331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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