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Organization
GATEWAY LLC
Active
Organization
GATEWAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE OWHADI (ADMINISTRATIVE DIRECTOR)
(559) 256-2000
Entity
Organization
Contact information
Practice address
1470 W HERNDON AVE, FRESNO, CA 93711-0552
(559) 256-2000
Mailing address
1470 W HERNDON AVE, FRESNO, CA 93711-0552
(559) 256-2000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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