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1011 G St Ste 5 Reedley CA 93654-2935 | |
| (559) 551-1400 | |
| (559) 551-1414 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1011 G St Ste 5, Reedley, California |
| Authorized Official Name and Position | Eileen Maxine Sandoval (OWNER) |
| Authorized Official Contact | 5598988642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 211 Reedley CA 93654-0211 Ph: (559) 898-8642 | 1011 G St Ste 5 Reedley CA 93654-2935 Ph: (559) 551-1400 |
| NPI Number | 1457928749 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 08/13/2023 |
| Certification Date | 08/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457928749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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