| NPI | 1174016240 |
|---|---|
| Doing Business As | FRESNO FAMILY THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIEL MOULTRIE Lmft 559-285-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 104484) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 105969) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-04-14 |