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Organization
POVERELLO HOUSE
Active
Organization
POVERELLO HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAINYAVONG VANG LPCC 16877 (DIRECTOR OF MENTAL HEALTH SERVICES)
(559) 498-6988
Entity
Organization
Contact information
Practice address
412 F ST, FRESNO, CA 93706-3409
(559) 498-6988
Mailing address
412 F ST, FRESNO, CA 93706-3409
(559) 498-6988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
04/06/2021
Last updated
04/10/2026
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