# CLOVIS FAMILY THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477344356
- **Authorized official:** MR. DAVID JOHN WOLTER LMFT (PRESIDENT)
- **Authorized official phone:** (559) 545-7087

## Contact information

- **Practice address:** 264 CLOVIS AVE, CLOVIS, CA 93612-1115
- **Practice address phone:** (559) 545-7087
- **Practice address fax:** (559) 324-6565
- **Mailing address:** 264 CLOVIS AVE, CLOVIS, CA 93612-1115
- **Mailing address phone:** (559) 545-7087
- **Mailing address fax:** (559) 324-6565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2025
- **Last updated:** 05/13/2025