| Olive Leaf Family Therapy, Inc | |
|
6276 N 1st St Ste 103 Fresno CA 93710-5400 | |
| (559) 712-4300 | |
| (559) 412-2104 |
| Full Name | Olive Leaf Family Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6276 N 1st St Ste 103, Fresno, California |
| Authorized Official Name and Position | Laura Alice Slagle (CEO, CLINICAL DIRECTOR) |
| Authorized Official Contact | 5599708831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Leaf Family Therapy, Inc 6276 N 1st St Ste 103 Fresno CA 93710-5400 Ph: (559) 712-4300 | Olive Leaf Family Therapy, Inc 6276 N 1st St Ste 103 Fresno CA 93710-5400 Ph: (559) 712-4300 |
| NPI Number | 1447816079 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 10/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447816079 | NPI | - | NPPES |
| 83605 | Other | CA | CA BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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