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Organization
FRESNO FAMILY THERAPY
Active
Organization
FRESNO FAMILY THERAPY
Active
Other names
Fresno Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MOULTRIE LMFT (LMFT)
(559) 285-6364
Entity
Organization
Contact information
Practice address
745 E LOCUST AVE STE 106, FRESNO, CA 93720-3000
(559) 795-5990
Mailing address
550 W ALLUVIAL AVE STE 108, FRESNO, CA 93711-5857
(559) 285-6364
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
104484
CA
106H00000X
Marriage & Family Therapist
105969
CA
Other
Enumeration date
06/12/2018
Last updated
04/14/2021
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