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2547 W Shaw Ave Ste 114 Fresno CA 93711-3321 | |
| (559) 422-0394 | |
| (844) 449-0753 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2547 W Shaw Ave Ste 114, Fresno, California |
| Authorized Official Name and Position | Kimberly M Jones (OWNER) |
| Authorized Official Contact | 5594220394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2718 W Nebraska Ave Caruthers CA 93609-9505 Ph: (559) 960-6994 | 2547 W Shaw Ave Ste 114 Fresno CA 93711-3321 Ph: (559) 422-0394 |
| NPI Number | 1982410908 |
|---|---|
| Provider Enumeration Date | 12/04/2024 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982410908 | 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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