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Organization
WEST SIDE CHURCH OF GOD
Active
Organization
WEST SIDE CHURCH OF GOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIE PARKS (BOARD CHAIR)
(559) 237-1444
Entity
Organization
Contact information
Practice address
1424 W CALIFORNIA AVE, FRESNO, CA 93706-3922
(559) 237-1444
Mailing address
1424 W CALIFORNIA AVE, FRESNO, CA 93706-3922
(559) 237-1444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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