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Organization
DEPARTMENT OF BEHAVIORAL HEALTH
Active
Organization
DEPARTMENT OF BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWAN UTECHT (MENTAL HEALTH DIRECTOR)
(559) 600-9193
Entity
Organization
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-4099
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 453-4099
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS # 21112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21112
LCS
CA
Enumeration date
12/06/2006
Last updated
06/10/2019
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