| Selah Counseling Inc. | |
|
1295 N Wishon Ave Ste 211 Fresno CA 93728-2350 | |
| (559) 316-1097 | |
| Not Available |
| Full Name | Selah Counseling Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1295 N Wishon Ave Ste 211, Fresno, California |
| Authorized Official Name and Position | Angela Alice Ybarra (LMFT) |
| Authorized Official Contact | 5593161097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Counseling Inc. 1631 Ne Broadway St Pmb 750 Portland OR 97232 Ph: (559) 316-1097 | Selah Counseling Inc. 1295 N Wishon Ave Ste 211 Fresno CA 93728-2350 Ph: (559) 316-1097 |
| NPI Number | 1477128643 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 08/19/2023 |
| Certification Date | 08/19/2023 |
| Medicare PECOS PAC ID | 7416498639 |
|---|---|
| Medicare Enrollment ID | O20240916001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477128643 | NPI | - | NPPES |
| 53050 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Angela Alice Ybarra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831455286 PECOS PAC ID: 9234670456 Enrollment ID: I20240916001258 |
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