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Organization
PRIME MENTAL HEALTH CENTER
Active
Organization
PRIME MENTAL HEALTH CENTER
Active
Other names
Prime Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE ZIMMERMAN PHD (CEO)
(559) 393-7465
Entity
Organization
Contact information
Practice address
1410 KERN ST, FRESNO, CA 93706-3322
(559) 417-1795
Mailing address
3233 N CHESTNUT AVE, FRESNO, CA 93726-6405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY27555
CA
103TP0016X
Prescribing (Medical) Psychologist
A33871
CA
1041C0700X
Clinical Social Worker
Primary
25653
CA
1041C0700X
Clinical Social Worker
ASW 73111
CA
Other
Enumeration date
07/14/2016
Last updated
03/15/2017
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